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

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.

Title

President

Phone

(949) 748-3722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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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• 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.