Hae-Jung Kim, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

63773 Issued in CA

Practice address

307 Mall Dr Ste 101
Hanford, CA 93230

Phone

(559) 585-1519

Fax

(559) 380-2125

NPI assigned

Apr 17, 2014

Last updated

May 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. David Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1629498654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MALL DR STE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305795",
            "telephone_number": "559-585-1519",
            "fax_number": "559-380-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MALL DR STE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-585-1519",
            "fax_number": "559-380-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAE-JUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "KIM",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kerry's Medical Inc
• Abraham J Khan, MD
• Nasiruddin Ali Khan, O.D.
• Sana Khan, MD
• Kids Orthodontics Elick Dental Group
• Katherine Kim
• Timothy Kim, DMD
• Kindred Care Health and Wellness
• King County Health Dept
• King Hearing Aid Centers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.