J Kim DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J KIM DDS INC

Practice address

20657 Golden Springs Dr Ste 205B
Diamond Bar, CA 91789-3837

Phone

(909) 859-8800

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Jin Kim, DDS

Title

President

Phone

(714) 485-9999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1487237491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR STE 205B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR STE 205B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893837",
            "telephone_number": "909-859-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-485-9999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.