Kinberly Antrim DDS Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

59694 Issued in CA

Legal business name

KINBERLY ANTRIM DDS DENTAL CORPORATION

Practice address

7880 Wren Ave
Suite a-113
Gilroy, CA 95020-4943

Phone

(408) 375-2155

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kinberly Antrim, D.D.S.

Title

President

Phone

(408) 375-2155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1558712398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE A-113",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-375-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE A-113",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-375-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINBERLY ANTRIM DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "ANTRIM",
        "authorized_official_first_name": "KINBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-375-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dong Kieu, PHARMD
• Akram Kildani, RPH
• Daniel Young Kim, MD
• Grace Kim
• Haejin Kim, DDS
• Kathleen Leardon King, NP
• Sarah Ann King, PT, DPT
• Rahul R Kini, DDS
• Daniel Mark Kinoshita
• Claire Kinsey

• Dental Clinic/Center in Gilroy, CA
• Providers in Gilroy, 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 Jun 23, 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.