NPIMap

Organization Active NPI

Valencia Children'S Dental Group

  • Pediatric Dentistry
  • Valencia, CA
National Provider Identifier
1700919974
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
39025 Issued in CA
Legal business name
VALENCIA CHILDREN'S DENTAL GROUP
Practice address
27885 Smyth Dr
Valencia, CA 91355-4011
Phone
(661) 294-1800
Fax
(661) 294-9774
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Rose E Kim, DDSNPI 1003950627
Title
President
Phone
(661) 294-1800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 39025 CA Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 41287 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 41287 CA

Addresses

Primary practice location

27885 Smyth Dr
Valencia, CA 91355-4011

Mailing address

27885 Smyth Dr
Valencia, CA 91355-4011
Phone (661) 294-1800

National Provider Directory

National Provider Directory

Locations

27885 Smyth Dr
Valencia, CA 91355
Phone (661) 294-1800

Practitioners & affiliated clinicians

Practitioners 2

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1700919974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27885 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554011",
            "telephone_number": "661-294-1800",
            "fax_number": "661-294-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27885 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554011",
            "telephone_number": "661-294-1800",
            "fax_number": "661-294-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA CHILDREN'S DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-294-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "39025",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41287",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "41287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.