Active NPI
Kim Kyuwan Dental Corporation
- General Practice Dentistry
- Fullerton, CA
National Provider Identifier
1811894025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KIM KYUWAN DENTAL CORPORATION
- Practice address
- 1001 E Chapman Ave Ste a
Fullerton, CA 92831-3851 - Phone
- (714) 332-8989
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kyuwan Kim, DDS/DMS
- Title
- President/Ceo
- Phone
- (714) 332-8989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1001 E Chapman Ave Ste a
Fullerton, CA 92831-3851
Mailing address
1001 E Chapman Ave Ste a
Fullerton, CA 92831-3851
Phone (714) 332-8989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792540800000",
"number": "1811894025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E CHAPMAN AVE STE A",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313851",
"telephone_number": "714-332-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E CHAPMAN AVE STE A",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313851",
"telephone_number": "714-332-8989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIM KYUWAN DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "KYUWAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "714-332-8989",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS/DMS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.