John Hyunyoung Kim, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

53915 Issued in CA

Legal business name

JOHN HYUNYOUNG KIM, DDS, INC.

Practice address

19742 Macarthur Blvd
Suite 224
Irvine, CA 92612-2432

Phone

(949) 748-3722

Fax

(949) 502-8855

NPI assigned

Apr 12, 2013

Last updated

Feb 11, 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. John Hyunyoung Kim, D.D.S.NPI 1427367226

Title

President

Phone

(949) 748-3722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• John Hyunyoung Kim, D.D.S.

  • Dentist
  • Irvine, CA
  • NPI 1427367226
  Authorized official Same address or phone

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1609219294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BLVD",
            "address_2": "SUITE 224",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122432",
            "telephone_number": "949-748-3722",
            "fax_number": "949-502-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19742 MACARTHUR BLVD",
            "address_2": "SUITE 224",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122432",
            "telephone_number": "949-748-3722",
            "fax_number": "949-502-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HYUNYOUNG KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HYUNYOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-748-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emmanuel B John, PT, DPT, PHD, MBA
• Johnson DDS & Keshav DDS, Inc (Access Endodontics)
• Ainaria Johnson

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.