Jin Y. Kim DDS, Inc.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

JIN Y. KIM DDS, INC.

Practice address

9681 Garden Grove Blvd Ste 104
Garden Grove, CA 92844-1548

Phone

(714) 539-8275

Fax

(714) 539-8284

NPI assigned

Oct 7, 2019

Organization subpart

Yes

Parent organization

JIN Y. KIM DDS, INC.As reported in NPPES

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

Authorized official

Name

Jin Young Kim, D.D.S.NPI 1922296623

Title

President

Phone

(323) 445-6144

Specialties & licenses 1

Addresses

Part of

Jin Y Kim DDS Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jin Y. Kim DDS, Inc.

  • Prosthodontics
  • Garden Grove, CA
  • NPI 1063687937
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin Young Kim, D.D.S.

  • Prosthodontics
  • Diamond Bar, CA
  • NPI 1922296623
  NPD Authorized official

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1639710973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9681 GARDEN GROVE BLVD STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441548",
            "telephone_number": "714-539-8275",
            "fax_number": "714-539-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9681 GARDEN GROVE BLVD STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441548",
            "telephone_number": "714-539-8275",
            "fax_number": "714-539-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN Y. KIM DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JIN Y. KIM DDS, INC.",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-445-6144",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.