Active NPI
Daniel Kim, DDS
- Endodontics
- Lancaster, CA
National Provider Identifier
1700070455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 53077
- Practice address
- 44439 17TH St W
Suite 201
Lancaster, CA 93534-2831 - Phone
- (661) 723-1461
- Fax
- (661) 942-7082
- NPI assigned
- Sep 5, 2007
- Last updated
- Sep 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 53077 | CA | Primary |
Addresses
Primary practice location
44439 17TH St W
Suite 201
Lancaster, CA 93534-2831
Mailing address
44439 17TH St W
Suite 201
Lancaster, CA 93534-2831
Phone (661) 723-1461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53077 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Ju, DDS, Inc. | Past | Accepting new patients | |
| Sachin Saharan DDS Inc | Endodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Lancaster, CA
- NPI 1295048023
-
dba Elite Dental Care
- General Practice Dentistry
- Lancaster, CA
- NPI 1508318684
Endodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1700070455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44439 17TH ST W",
"address_2": "SUITE 201",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342831",
"telephone_number": "661-723-1461",
"fax_number": "661-942-7082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44439 17TH ST W",
"address_2": "SUITE 201",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342831",
"telephone_number": "661-723-1461",
"fax_number": "661-942-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "53077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.