NPIMap

Organization Active NPI

Hak Cheon Kim DDS Inc

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1487720785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36394 Issued in CA
Legal business name
HAK CHEON KIM DDS INC
Doing business as
Archibald Dental Office
Practice address
2550 S Archibald Ave
#M
Ontario, CA 91761
Phone
(909) 923-6622
Fax
(909) 923-3143
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hak Cheon Kim, DDSNPI 1407912405
Title
Owner
Phone
(909) 923-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 36394 CA Primary

Addresses

Primary practice location

2550 S Archibald Ave
#M
Ontario, CA 91761

Mailing address

2550 S Archibald Ave
#M
Ontario, CA 91761
Phone (909) 923-6622

Other names 1

  • Archibald Dental Office Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Archibald Dental Office2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2550 S Archibald Ave
Ste M
Ontario, CA 91761
Phone (909) 923-6622

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487720785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S ARCHIBALD AVE",
            "address_2": "#M",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91761",
            "telephone_number": "909-923-6622",
            "fax_number": "909-923-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S ARCHIBALD AVE",
            "address_2": "#M",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91761",
            "telephone_number": "909-923-6622",
            "fax_number": "909-923-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAK CHEON KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HAK CHEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-923-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archibald Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.