Mi Sung Heo-Kim, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50766 Issued in CA

Legal business name

MI SUNG HEO-KIM, DDS, INC.

Practice address

5814 Riverside Dr
Chino, CA 91710-4457

Phone

(909) 548-4844

Fax

(909) 548-0774

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mi Sung Heo-Kim, DDS

Title

President

Phone

(909) 732-8786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1730310962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104457",
            "telephone_number": "909-548-4844",
            "fax_number": "909-548-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104457",
            "telephone_number": "909-548-4844",
            "fax_number": "909-548-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI SUNG HEO-KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "HEO-KIM",
        "authorized_official_first_name": "MI",
        "authorized_official_middle_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-732-8786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chino, CA
• Providers in Chino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.