Johnny K. Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHNNY K. KIM DDS INC

Practice address

1014 N Vermont Ave
Los Angeles, CA 90029-2620

Phone

(323) 664-3400

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Johnny K Kim

Title

Owner

Phone

(213) 820-2989

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1619322294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 CRENSHAW BLVD",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292620",
            "telephone_number": "323-664-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY K. KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-820-2989",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Y Jacobs OD Inc
• Brian John Jr., FNP-BC
• Heather Varughese John, M.D.
• Tarrone Reji John, MD
• Milan Quishina Johnigarn
• Alexis Johns, PH.D.
• Arlene Elisa Johns, MPH, RD, CNSD
• Danielle Johns
• Keary Winston Johns Jr., MSW, ACSW
• Lystacey L Johns

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.