Organization Active NPI

Jae Y. Kim DDS Inc.

  • Dentist
  • Bell Gardens, CA
National Provider Identifier
1669650768
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46085 Issued in CA
Legal business name
JAE Y. KIM DDS INC.
Practice address
7118 Eastern Ave
Bell Gardens, CA 90201-3906
Phone
(213) 952-4482
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Jae Kim
Title
President
Phone
(213) 952-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46085 CA Primary

Addresses

Primary practice location

7118 Eastern Ave
Bell Gardens, CA 90201-3906

Mailing address

7118 Eastern Ave
Bell Gardens, CA 90201-3906
Phone (213) 952-4482

National Provider Directory

National Provider Directory

Locations

7118 Eastern Ave
Bell Gardens, CA 90201
Phone (213) 952-4482

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1669650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013906",
            "telephone_number": "213-952-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013906",
            "telephone_number": "213-952-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE Y. KIM DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-952-4482"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.