Bryan Kim DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRYAN KIM DDS INC

Practice address

26440 La Alameda Ste 320
Mission Viejo, CA 92691-6304

Phone

(949) 445-1234

Fax

(949) 445-1337

NPI assigned

Nov 8, 2018

Last updated

Oct 20, 2023By 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. Bryan Kim, DDSNPI 1962893255

Title

Owner

Phone

(909) 839-3685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Bryan Kim, D.D.S.

  • Orofacial Pain Dentistry
  • Mission Viejo, CA
  • NPI 1962893255
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1689142648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA STE 320",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916304",
            "telephone_number": "949-445-1234",
            "fax_number": "949-445-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA STE 320",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916304",
            "telephone_number": "949-445-1234",
            "fax_number": "949-445-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-839-3685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Bruce, PHARMD
• Mary Ann Bruce, PH.D., OTR,L
• Tria E Brummond, PA-C
• Jennifer Brunn
• Bryan H Tran MD Inc
• James Donald Bryan, D.D.S., M.S.
• Erica S Buday, M.A., SLP
• Amy Tran Buenrostro, PHARM.D.
• Bonnie S Bueso
• Amy Thu Bui, M.D.

• Dental Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.