Kim & Lee a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM & LEE A DENTAL CORPORATION

Practice address

1686 W Katella Ave
Anaheim, CA 92802-3015

Phone

(657) 655-4321

NPI assigned

Jun 4, 2020

Last updated

Nov 30, 2021By 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

Linda Mee Young Lee, DDSNPI 1790214484

Title

Ceo

Phone

(503) 360-8886

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Linda Mee-Young Lee, DDS

  • General Practice Dentistry
  • Sylmar, CA
  • NPI 1790214484
  Medicare reassignment NPD Authorized official
• Daeuk David Kim, DDS

  • Dentist
  • Brea, CA
  • NPI 1356827737
  Medicare reassignment NPD
• Sae Chan Lee

  • General Practice Dentistry
  • Des Moines, WA
  • NPI 1700245248

  CA

  Medicare reassignment NPD
• Min Kyung Kim, DDS

  • Dentist
  • Anaheim, CA
  • NPI 1447973110
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1588288591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 ARTS AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216161",
            "telephone_number": "503-360-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023015",
            "telephone_number": "657-655-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & LEE A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MEE YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-360-8886",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Kikawa
• Eileen Kil
• Suheir Kilani, PA-C
• Sherilyn Kile, ED.S., PPS, - 230115
• Shea Thomas Kilty-Lomibao
• Kim Chiropractic & Acupuncture Inc.
• Alice R Kim, D.O.
• Allen Taesoo Kim, DDS
• Alvin C Kim, PHARM.D.
• Alysha Kim

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Nov 30, 2021; 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.