Melanie Kim Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MELANIE KIM DENTAL CORPORATION

Doing business as

Dentists of El Dorado Hills Dental Group

Practice address

3381 Bass Lake Rd
Suite 140
El Dorado Hills, CA 95762

Phone

(916) 545-9449

Fax

(916) 604-4313

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Melanie M KimNPI 1093263691

Title

DMD/Owner

Phone

(916) 545-9449

Specialties & licenses 1

Addresses

Other names 1

• Dentists of El Dorado Hills Dental Group Doing business as

Locations

Practitioners 2

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

• Melanie Midori Kim, DMD

  • Dentist
  • El Dorado Hills, CA
  • NPI 1093263691
  NPD Authorized official
• Eric Swenson, DDS

  • Dentist
  • Manteca, CA
  • NPI 1619540267
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1720611163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "303-222-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 BASS LAKE RD",
            "address_2": "SUITE 140",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95762",
            "telephone_number": "916-545-9449",
            "fax_number": "916-604-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "916-545-9449"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of El Dorado Hills Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of El Dorado Hills Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anand Mehta, MD
• Megan Melavic
• Lewis N Meltz, D.C.
• Cynthia C Mendonza, M.S.
• Ilene Mendoza
• Meridian Specialty Physicians PC

• Dentist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.