Chun K Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

259200 Issued in CA

Practice address

35900 Bob Hope Drive Ste 110
TMJ Head and Neck Pain Center
Rancho Mirage, CA 92270

Phone

(760) 770-4033

Fax

(760) 770-3975

NPI assigned

Dec 15, 2006

Last updated

Nov 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Lee & Byeoun, DDS, Inc.

  • Dental Clinic/Center
  • Rancho Mirage, CA
  • NPI 1073267498
  NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1710049887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DRIVE STE 110",
            "address_2": "TMJ HEAD AND NECK PAIN CENTER",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-770-4033",
            "fax_number": "760-770-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35900 BOB HOPE DRIVE STE 110",
            "address_2": "TMJ HEAD AND NECK PAIN CENTER",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-770-4033",
            "fax_number": "760-770-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHUN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "259200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Institute at Emc LLC
• Karalyn Kiest, FNP
• CHI Kim Kieu, MD
• Jeffrey Kile, MD
• Chris Kim, D.O
• Han NA Kim
• Judith Young Kim, MOT
• Michael Chunmin Kim, MD
• Taewoong Kim, M.D.
• Theresa Joy Yeon Jung Kim, MD

• Dentist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.