Sungho Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55848 Issued in CA

Legal business name

SUNGHO KIM DDS INC

Practice address

663 N Westwood St
B
Porterville, CA 93257-6930

Phone

(559) 781-3641

Fax

(559) 781-3690

NPI assigned

Sep 9, 2009

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sungho Kim, DDSNPI 1972703072

Title

President

Phone

(909) 528-2462

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, and the practitioner matching its NPPES authorized official.

• Sung Ho Kim, D.D.S.

  • General Practice Dentistry
  • Porterville, CA
  • NPI 1972703072
  NPD (past) Authorized official

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1730412644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 N WESTWOOD ST",
            "address_2": "B",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932576930",
            "telephone_number": "559-781-3641",
            "fax_number": "559-781-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N WESTWOOD ST",
            "address_2": "B",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932576930",
            "telephone_number": "559-781-3641",
            "fax_number": "559-781-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNGHO KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-528-2462",
        "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": "55848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timothy Paul Suorsa, O.D.
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• General Practice Dentistry in Porterville, CA
• Providers in Porterville, 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 Sep 9, 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.