Active NPI
S.S. Kim,D.D.S. Inc.
Doing business as Riverside West Dental Group
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1841406907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39026
- Legal business name
- S.S. KIM,D.D.S. INC.
- Doing business as
- Riverside West Dental Group
- Practice address
- 6945 Streeter Ave
Riverside, CA 92504-2206 - Phone
- (951) 687-7300
- NPI assigned
- May 15, 2007
- 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
- Nina Truong-Kim
- Title
- Regional Manager
- Phone
- (951) 377-2278
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39026 | CA | Primary |
Addresses
Primary practice location
6945 Streeter Ave
Riverside, CA 92504-2206
Mailing address
6945 Streeter Ave
Riverside, CA 92504-2206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B39026-02 | Other | CA | DENTICAL |
| 829626 | Other | CA | UNITED CONCORDIA |
Other names 1
- Riverside West Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- GP Dental Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Garden Grove, CA
- NPI 1477918811
Locations
6945 Streeter Ave
Riverside, CA 92504
Phone (951) 687-7300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Riverside, CA
- NPI 1750593018
-
- General Practice Dentistry
- Riverside, CA
- NPI 1396437703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1841406907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6945 STREETER AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6945 STREETER AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042206",
"telephone_number": "951-687-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S.S. KIM,D.D.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRUONG-KIM",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "951-377-2278"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "39026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B39026-02",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "829626",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside West Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.