Trusmile Dental Hygiene Practice of Kim, Inc.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Legal business name

TRUSMILE DENTAL HYGIENE PRACTICE OF KIM, INC.

Practice address

66 S San Gorgonio Ave Ste 5
Banning, CA 92220-6020

Phone

(951) 922-4975

Fax

(951) 922-4976

NPI assigned

Nov 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Antonette Kim, RDHAPNPI 1417558180

Title

President

Phone

(951) 922-4975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Antonette De Lara Kim, RDH, RDHAP

  • Dental Hygienist
  • Banning, CA
  • NPI 1417558180
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1467055566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S SAN GORGONIO AVE STE 5",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206020",
            "telephone_number": "951-553-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S SAN GORGONIO AVE STE 5",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206020",
            "telephone_number": "951-922-4975",
            "fax_number": "951-922-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSMILE DENTAL HYGIENE PRACTICE OF KIM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MARIA ANTONETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-922-4975",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Tran, PHARMD
• Long Thanh Tran, PA-C
• April Trujillo, LVN
• Arturo Trujillo Jr., LMFT
• Vanessa Trujillo, LCSW
• Wei Che Tsai, MD
• Justin Puttha Tuot
• Joel Wayne Umali, D.D.S.
• Unilab Corporation (DBA Quest Diagnostics Incorporated)
• Tukia Vakalahi

• Dental Hygienist in Banning, CA
• Providers in Banning, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.