Ryan H. Kim DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59486 Issued in CA

Legal business name

RYAN H. KIM DDS INC.

Practice address

580 G St
Brawley, CA 92227-2411

Phone

(760) 344-1613

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Hyun June Kim, DDS

Title

President

Phone

(760) 344-1613

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald C. Stillman, D.D.S.

  • General Practice Dentistry
  • Brawley, CA
  • NPI 1144355942
  NPD (past)

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1477812717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-344-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 G ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272411",
            "telephone_number": "760-344-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN H. KIM DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUN JUNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-344-1613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittania Rosas
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• Nicole Daniell Rubio, CRNA
• Maria Rodriguez Ruiz
• Oshin Safarian, D.M.D.
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• Jorge Saldivar
• Sally Saldivar
• Anna Massey San Pedro, M.A. LMFT

• General Practice Dentistry in Brawley, CA
• Providers in Brawley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.