Active NPI
Tokin Kim, DDS
- General Practice Dentistry
- San Gabriel, CA
National Provider Identifier
1760080998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105092
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 105092 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- San Gabriel, CA
- NPI 1497626980
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.