Dong Myung Kim DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

55265 Issued in CA

Legal business name

DONG MYUNG KIM DDS INC

Practice address

1055 S. Alvarado St
Los Angeles, CA 90004

Phone

(213) 382-8980

Fax

(213) 382-5159

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Dong M Kim, DDSNPI 1821203282

Title

C.E.O

Phone

(213) 382-8980

Specialties & licenses 1

Addresses

Other names 1

• Smile Dental & Implant Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Dong M Kim, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1821203282
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1487926911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S. ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "213-382-8980",
            "fax_number": "213-382-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S. ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "213-382-8980",
            "fax_number": "213-382-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONG MYUNG KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "213-382-8980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "55265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Berklee Donavan, ACSW
• Omeed M Donay, PA-C
• Done Swiftly Transportation LLC
• Jamie Louise Donenfeld, CNM
• Dong Hyun Lee, MD, Inc.
• Andy Dong, MD
• Athena Dong
• Elaine Dong
• Elaine Yining Dong
• Elizabeth Yi Dong, M.D.

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.