Todd Shuji Kimura, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DT-2429 Issued in HI

Practice address

4TH & Interloop Road, BLDG 171
US Army Dental Activity, Attn: Fran Gernert Credentials
Fort Irwin, CA 92311

Phone

(719) 526-5537

Fax

(719) 524-2843

NPI assigned

Dec 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1669457164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVENUE, BLDG 815",
            "address_2": "US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT CREDENTIALS",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-5537",
            "fax_number": "719-524-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH & INTERLOOP ROAD, BLDG 171",
            "address_2": "US ARMY DENTAL ACTIVITY, ATTN: FRAN GERNERT CREDENTIALS",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "719-526-5537",
            "fax_number": "719-524-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "TODD",
        "middle_name": "SHUJI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "43803",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "DT-2429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hye H Kim, DDS
• Ji Kim
• Kihyun Kim, D.O.
• Sung Soo Kim, DDS
• Yong Soo Kim, DDS
• Barbara Jeannette King, RN
• Brittany M Kirch, DO
• Kathyrn Elisabeth Klawitter, R.N.
• Youngkwang Ko
• Claudia C Koss, LPN

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.