NPIMap

Organization Active NPI

Hyung-Ju John Kim DDS Inc

Doing business as Children Dental World

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1619101540
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49122 Issued in CA
Legal business name
HYUNG-JU JOHN KIM DDS INC
Doing business as
Children Dental World
Practice address
2805 S San Pedro St
Los Angeles, CA 90011-2023
Phone
(323) 846-8443
Fax
(323) 846-8448
NPI assigned
May 6, 2009
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Hyung-Ju John Kim, DDSNPI 1982777918
Title
Ceo
Phone
(323) 846-8443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 49122 CA Primary

Addresses

Primary practice location

2805 S San Pedro St
Los Angeles, CA 90011-2023

Mailing address

2805 S San Pedro St
Los Angeles, CA 90011-2023
Phone (323) 846-8443

Other names 1

  • Children Dental World Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children Dental World5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2805 S San Pedro St
Los Angeles, CA 90011
Phone (323) 846-8443

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1619101540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112023",
            "telephone_number": "323-846-8443",
            "fax_number": "323-846-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112023",
            "telephone_number": "323-846-8443",
            "fax_number": "323-846-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUNG-JU JOHN KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNG-JU JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-846-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children Dental World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.