Yong Chin Kim, DDS, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

50621 Issued in CA

Practice address

1465 Live Oak Blvd
Yuba City, CA 95991-2920

Phone

(530) 673-1401

Fax

(530) 673-1466

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Y. C. Kim Dental, Inc

  • Endodontics
  • Jackson, CA
  • NPI 1467817767
  NPD (past) Authorized official
• Yong Chin Kim, DDS, MSD, Inc

  • Endodontics
  • Yuba City, CA
  • NPI 1891105128
  NPD (past) Authorized official

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1811924202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912920",
            "telephone_number": "530-673-1401",
            "fax_number": "530-673-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912920",
            "telephone_number": "530-673-1401",
            "fax_number": "530-673-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YONG",
        "middle_name": "CHIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-75",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "50621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikevia Lona Kiles
• Martha Kilkenny, F.N.P, R.N
• Alexander P Kim, DO
• Angela Yoonha Kim, DO, MPH
• Helen Kim
• Ashley Marie King
• Janice Marie King
• Suzanne Denice King, MFT #50786
• Michael Gene Kinnison, M.D.
• Victoria Kintz

• Endodontics in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.