James Kim DDS a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47917 Issued in CA

Legal business name

JAMES KIM DDS A PROFESSIONAL DENTAL CORPORATION

Practice address

42002 Fox Farm Rd.
#101
Big Bear Lake, CA 92315

Phone

(909) 866-0606

Fax

(909) 866-5546

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James H Kim, DDSNPI 1982720751

Title

Owner

Phone

(909) 866-0606

Specialties & licenses 1

Addresses

Practitioners 1

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

• James H Kim, D.D.S.

  • General Practice Dentistry
  • Big Bear Lake, CA
  • NPI 1982720751
  NPD (past) Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1508038308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6951",
            "address_2": "42002 FOX FARM RD. #101",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156951",
            "telephone_number": "909-866-0606",
            "fax_number": "909-866-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42002 FOX FARM RD.",
            "address_2": "#101",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-0606",
            "fax_number": "909-866-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES KIM DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-866-0606",
        "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": "47917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Maryann Hofer
• Eileen Mary Hofer, R.N.
• David J. Horner, MD
• Christina Hunyady
• Kimberly Hurtarte
• Sharon Lynn Janco-Plourde, D.C.
• Trilby L Jasinski, D.C.
• Selia Rene Jimenez, LMT
• Joshua Marshall Licensed Clinical Social Worker Inc.
• Babetta Juergens

• General Practice Dentistry in Big Bear Lake, CA
• Providers in Big Bear Lake, 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 Apr 1, 2008; 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.