Organization Active NPI

Kim Kyuwan Dental Corporation

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1811894025
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.