Kenny Kim & Marie Nguyen, Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENNY KIM & MARIE NGUYEN, DENTAL CORPORATION

Practice address

1720 Hamilton Ave
San Jose, CA 95125-5424

Phone

(408) 269-6982

Fax

(408) 269-4133

NPI assigned

May 5, 2009

Last updated

Sep 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenny Kim, D.D.S.NPI 1174733562

Title

President

Phone

(408) 269-6982

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, and the practitioner matching its NPPES authorized official.

• Kenny Kim, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1174733562
  Authorized official Same address or phone

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1528292562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255424",
            "telephone_number": "408-269-6982",
            "fax_number": "408-269-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HAMILTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255424",
            "telephone_number": "408-269-6982",
            "fax_number": "408-269-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY KIM & MARIE NGUYEN, DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-269-6982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth H. Ballentine OD Inc.
• Kenneth S. Blumenfeld, MD. P.C.
• Kenneth V. Hoang, DMD, Inc
• Kenneth Y. Kai, DDS, Inc
• Shane Kenning, DC
• Saleena Alexandria Kenoly
• George Peter Kent, MD
• Milo K Kentera
• Jacki D Kentzel
• Hemant V. Keny, MD

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Sep 26, 2016; 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.