NPIMap

Organization Active NPI

S.S. Kim, D.D.S., Inc.

  • General Practice Dentistry
  • Garden Grove, CA
National Provider Identifier
1477918811
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39026 Issued in CA
Legal business name
S.S. KIM, D.D.S., INC.
Practice address
9800 Garden Grove Blvd
Garden Grove, CA 92844-1617
Phone
(714) 638-9370
Fax
(714) 534-5545
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Steven Sungkee Kim, D.D.S.
Title
President
Phone
(951) 687-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 39026 CA Primary

Addresses

Primary practice location

9800 Garden Grove Blvd
Garden Grove, CA 92844-1617

Mailing address

9800 Garden Grove Blvd
Garden Grove, CA 92844-1617
Phone (714) 638-9370

National Provider Directory

National Provider Directory
Tax ID family
GP Dental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1477918811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441617",
            "telephone_number": "714-638-9370",
            "fax_number": "714-534-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441617",
            "telephone_number": "714-638-9370",
            "fax_number": "714-534-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.S. KIM, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SUNGKEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-687-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.