Ansony Kim, DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ANSONY KIM, DDS INC

Practice address

2591 Main St
Oakley, CA 94561-1854

Phone

(925) 690-5437

Fax

(925) 690-5438

NPI assigned

Sep 25, 2019

Last updated

May 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ansony Jin Kim, DDSNPI 1164863833

Title

Owner

Phone

(510) 334-3622

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ansony Kim, D.D.S

  • Pediatric Dentistry
  • Lowell, MA
  • NPI 1164863833
  NPD Authorized official
• Phi Luong, D.D.S

  • Pediatric Dentistry
  • Oakley, CA
  • NPI 1952698482
  NPD

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1629629134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4604",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945960604",
            "telephone_number": "510-334-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 MAIN ST",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945611854",
            "telephone_number": "925-690-5437",
            "fax_number": "925-690-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANSONY KIM, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANSONY",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-334-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberacion P Albinda, M.D.
• Clarence Joy Alvarez, RN
• Jessica A Alvarez
• Amanda Ranola Optometric Corporation
• American Star Home 3 Icf/DD-N
• Patrick V Araullo, LVN
• Tarik Wassim Arid, DDS
• Daisy Maria Arroyo
• Olivia Susana Barcenas
• Miguel Angel Barrera, M.A.

• Pediatric Dentistry in Oakley, CA
• Providers in Oakley, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.