Gene W Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51272 Issued in CA

Legal business name

GENE W KIM DDS INC

Practice address

1907 N Placentia Ave
Placentia, CA 92870-2201

Phone

(714) 577-5772

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gene W Kim, DDSNPI 1710106935

Title

DDS/Owner

Phone

(714) 577-5772

Specialties & licenses 1

Addresses

Tax ID family

Gene W Kim DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gene Woo Kim DDS Inc

  • Dentist
  • Corcoran, CA
  • NPI 1881859064
  NPD tax ID

Locations

Practitioners 1

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

• Gene Woo Kim, D.D.S.

  • Dentist
  • Placentia, CA
  • NPI 1710106935
  NPD (past) Authorized official

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1659632891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702201",
            "telephone_number": "714-577-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702201",
            "telephone_number": "714-577-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE W KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "714-577-5772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zugey Garcia
• Seanna Rose Garewal, OTR/L
• Garfield Beach CVS LLC (CVS Pharmacy # 09747)
• Jeffrey S Garrett, PSY.D.
• Geiss Med Durable Medical Equipment D.O. Medical Corporation
• Ann Margaret Gibson
• Nikole Raylee Gilbert
• Ashneet Kaur Gill
• Yashwant Giri, M.D.
• Glass Beach Medical Services AMC

• General Practice Dentistry in Placentia, CA
• Providers in Placentia, 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 Jan 3, 2017; 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.