Organization Active NPI

Steven Kim Dental Corporation

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1730506676
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52411 Issued in CA
Legal business name
STEVEN KIM DENTAL CORPORATION
Practice address
5512 E Britton Dr
204
Long Beach, CA 90815-3146
Phone
(562) 493-0693
Fax
(562) 431-8402
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Steven Kim, DDS
Title
President
Phone
(562) 493-0693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52411 CA Primary

Addresses

Primary practice location

5512 E Britton Dr
204
Long Beach, CA 90815-3146

Mailing address

5512 E Britton Dr
204
Long Beach, CA 90815-3146
Phone (562) 493-0693

National Provider Directory

National Provider Directory

Locations

5512 E Britton Dr
Ste 204
Long Beach, CA 90815
Phone (562) 493-0693

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1730506676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR",
            "address_2": "204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153146",
            "telephone_number": "562-493-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR",
            "address_2": "204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153146",
            "telephone_number": "562-493-0693",
            "fax_number": "562-431-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-493-0693",
        "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": "52411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.