Kim DDS a Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56566 Issued in CA

Legal business name

KIM DDS A DENTAL CORP

Practice address

3544 W 8TH St
Los Angeles, CA 90005-2902

Phone

(213) 381-7967

Fax

(213) 381-3364

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Soo-Hyun Kim

Title

Ceo

Phone

(213) 381-7967

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.

• Kyung Soo Paik, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1669510764
  NPD (past)

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1487027090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052902",
            "telephone_number": "213-381-7967",
            "fax_number": "213-381-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052902",
            "telephone_number": "213-381-7967",
            "fax_number": "213-381-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM DDS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOO-HYUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-381-7967"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim & Kim Professional Dental Corp
• Kim and Tran Dental Corp
• Kim CHI Le
• Kim Chiropractic & Pain Management, Inc.
• Lindsay Yeonsoo Kim Choi
• Kim Le Nguyen DDS, Inc
• Kim Lee Enterprise and Associates
• Karen Kim-Chang, FNP
• Rosalie Kim-Hess, LCSW
• Judy Eunjoo Kim-Hwang, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 4, 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.