Active NPI
Brian J. Kim, DDS, MSD, Inc.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Granada Hills, CA
National Provider Identifier
1689862617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 48133
- Legal business name
- BRIAN J. KIM, DDS, MSD, INC.
- Practice address
- 10515 Balboa Blvd
Suite 280
Granada Hills, CA 91344-6343 - Phone
- (818) 363-7900
- Fax
- (818) 368-7111
- NPI assigned
- Oct 3, 2007
- Last updated
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Kim, D.D.S., M.S.D.
- Title
- President
- Phone
- (818) 363-7900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 48133 | CA | Primary |
Addresses
Primary practice location
10515 Balboa Blvd
Suite 280
Granada Hills, CA 91344-6343
Mailing address
10515 Balboa Blvd
Suite 280
Granada Hills, CA 91344-6343
Phone (818) 363-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248133 | Other | CA | DELTA DENTAL |
National Provider Directory
National Provider DirectoryLocations
10515 Balboa Blvd
Ste 280
Granada Hills, CA 91344
Phone (818) 363-7900
Practitioners & affiliated clinicians
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Granada Hills, CA
- NPI 1801835657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1689862617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD",
"address_2": "SUITE 280",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446343",
"telephone_number": "818-363-7900",
"fax_number": "818-368-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10515 BALBOA BLVD",
"address_2": "SUITE 280",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446343",
"telephone_number": "818-363-7900",
"fax_number": "818-368-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN J. KIM, DDS, MSD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-363-7900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., M.S.D."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "48133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "248133",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.