Young Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31939 Issued in CA

Practice address

1721 W Katella Ave Ste a
Anaheim, CA 92804-6195

Phone

(714) 772-5656

Fax

(714) 772-4434

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDJDCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kwang He Won Health Center

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1699232454
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1750479218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LA QUINTA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122928",
            "telephone_number": "714-527-5656",
            "fax_number": "714-772-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W KATELLA AVE STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046195",
            "telephone_number": "714-772-5656",
            "fax_number": "714-772-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yejoio Kim
• Yen Tse Kim, DNP, FNP, AGNP, BSN
• Yenah Kim
• Yong Ho Kim, M.D.
• Yonghwan Kim, D.D.S
• Young Chul Kim, MD
• Yung Tae Kim, MD
• Yurim Kim
• Kimball Dental Corporation
• Charles Kimball, D.D.S.

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Jan 11, 2012; 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.