Organization Active NPI

Byung Wook Kim Dental Corporation

Doing business as BK Dental Office

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1770344277
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BYUNG WOOK KIM DENTAL CORPORATION
Doing business as
BK Dental Office
Practice address
431 S Western Ave
Los Angeles, CA 90020
Phone
(213) 315-5150
Fax
(213) 315-5150
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Brian Byungwook Kim, DDS
Title
Ceo
Phone
(213) 235-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

431 S Western Ave
Los Angeles, CA 90020

Mailing address

431 S Western Ave
Los Angeles, CA 90020
Phone (213) 315-5150

Other names 1

  • BK Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

431 S Western Ave
Los Angeles, CA 90020
Phone (213) 315-5150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1770344277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90020",
            "telephone_number": "213-315-5150",
            "fax_number": "213-315-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90020",
            "telephone_number": "213-315-5150",
            "fax_number": "213-315-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUNG WOOK KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN BYUNGWOOK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-235-5507",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BK Dental Office",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BK Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.