Heidi Weizhang Kim, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

106286 Issued in CA

Practice address

906 S Sunset Ave Ste 105
West Covina, CA 91790-3400

Phone

(626) 480-1543

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Wei Zhang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1568940427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 AVENUE SAUSALITO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061849",
            "telephone_number": "202-701-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE STE 105",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903400",
            "telephone_number": "626-480-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEIDI",
        "middle_name": "WEIZHANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106286",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WEI",
            "last_name": "ZHANG",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Associates Medical Clinic, Inc.
• Aileen Kim, D.D.S., M.S.
• Betty Kim
• Choon Kyung Kim, D.D.S.
• Eunsun Kim
• Jae M Kim, M.D.
• Jennifer Young Kim, MD
• Jeong E. Kim, DDS
• Jung Hoon Kim, PHARM.D.
• Stella Kim

• Pediatric Dentistry in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.