Kristi Kim Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRISTI KIM DENTAL CORPORATION

Practice address

621 S Virgil Ave Ste 415
Los Angeles, CA 90005-4000

Phone

(213) 270-1077

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Kristi KimNPI 1508242637

Title

Ceo

Phone

(224) 616-8337

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristi Kim

  • Dentist
  • Los Angeles, CA
  • NPI 1508242637
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1700616430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054000",
            "telephone_number": "213-270-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054000",
            "telephone_number": "213-270-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-616-8337"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilpa Shaji Krishnan, PHARMD
• Srikanth Krishnan, M.D.
• Kristen Gardenhire
• Kristen Lew MD Medical Corporation
• Tyler Kristensen
• Apryll Lee Kristy
• Kenneth Kritboonyalai
• Mariya Kriv, LMFT
• Alina Krivitsky, D.D.S.
• Ryan Kriwanek, DDS

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 6, 2024; 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.