James Myung Ju Kim DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JAMES MYUNG JU KIM DDS INC

Practice address

1136 N Mount Vernon Ave Ste 202-203
San Bernardino, CA 92411-2279

Phone

(909) 453-0244

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

James Myung Ju Kim

Title

Owner

Phone

(909) 453-0188

Specialties & licenses 1

Addresses

Tax ID family

James Myung Ju Kim DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• James Myung Ju Kim DDS Inc

  • General Practice Dentistry
  • Huntington Park, CA
  • NPI 1326244591
  NPD tax ID
• James Myung Ju Kim DDS Inc

  • General Practice Dentistry
  • Hawthorne, CA
  • NPI 1629251954
  NPD tax ID

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1598239170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 N MOUNT VERNON AVE STE 202-203",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924112279",
            "telephone_number": "909-453-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 N MOUNT VERNON AVE STE 202-203",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924112279",
            "telephone_number": "909-453-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MYUNG JU KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MYUNG JU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-453-0188"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Jaimes
• Bharti Jain, M.D.
• Azadeh Jalali
• Danesha C Jamerson
• Jacqlyn Tamara Jamerson, LVN
• James R Pollard DDS Inc
• James Sumilat, D.D.S., Inc
• Dujuan Anthony James
• Everett Andy James, LCSW
• Genie M James

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.