Soon Y. Shim DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOON Y. SHIM DDS, INC

Practice address

7540 Orangethorpe Ave Ste C4
Buena Park, CA 90621-3458

Phone

(714) 522-4445

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Soon Yong Shim, DDS

Title

Owner

Phone

(714) 522-4445

Specialties & licenses 1

Addresses

Other names 1

• Prime Dental Care Doing business as

Locations

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1609593813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 ORANGETHORPE AVE STE C4",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213458",
            "telephone_number": "714-522-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 ORANGETHORPE AVE STE C4",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213458",
            "telephone_number": "714-522-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOON Y. SHIM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "YONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-522-4445",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.