Individual provider Active NPI

Tokin Kim, DDS

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1760080998
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105092 Issued in CA
Practice address
531 W Las Tunas Dr Ste a
San Gabriel, CA 91776-1166
Phone
(714) 323-8007
NPI assigned
Oct 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105092 CA Primary

Addresses

Primary practice location

531 W Las Tunas Dr Ste a
San Gabriel, CA 91776-1166

Mailing address

2141 Elderway Dr
Hacienda Heights, CA 91745-4935
Phone (909) 255-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105092CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tokin Kim DDS Inc. Current Accepting new patients

Locations

531 W Las Tunas Dr
Ste A
San Gabriel, CA 91776
Phone (626) 282-0884

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1760080998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 ELDERWAY DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454935",
            "telephone_number": "909-255-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W LAS TUNAS DR STE A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761166",
            "telephone_number": "714-323-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TOKIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.