Chino Hills Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63129 Issued in CA

Legal business name

CHINO HILLS FAMILY DENTISTRY

Practice address

4183-H Chino Hills Parkway
Chino Hills, CA 91709-3781

Phone

(909) 393-5300

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Douglas Kim, DDS

Title

Owner

Phone

(714) 527-5656

Specialties & licenses 1

Addresses

Other names 1

• Dr. Douglas Kim, Inc Other name

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1760960793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183-H CHINO HILLS PARKWAY",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093781",
            "telephone_number": "909-393-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183-H CHINO HILLS PARKWAY",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093781",
            "telephone_number": "909-393-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO HILLS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-527-5656",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Douglas Kim, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Chiang
• Melvin Chin
• Chino Hills Adhc Inc. (Chino Hills Adult Day Health Care Center)
• Chino Hills Dentistry
• Chino Hills Eye Care Center, Inc.
• Chino Hills Med-Plaza Pharmacy Inc (Med-Plaza Pharmacy)
• Chino Hills Optometry Inc
• Chino Hills Pediatrics Inc.
• Chino Hills Podiatry Group
• Chino Hills Professional Pharmacy Inc (Chino Hills Professional Pharmacy)

• General Practice Dentistry in Chino Hills, CA
• Providers in Chino Hills, 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 Oct 19, 2018; 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.