Savannah J. Kim DDS Ms, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

56483 Issued in CA

Legal business name

SAVANNAH J. KIM DDS MS, INC.

Doing business as

Redwood City Pediatric Dentistry

Practice address

2130 Ralston Ave Ste 1B
Belmont, CA 94002-1664

Phone

(650) 591-4408

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Savannah Kim

Title

Ceo

Phone

(650) 365-3430

Specialties & licenses 1

Addresses

Other names 1

• Redwood City Pediatric Dentistry Doing business as

Tax ID family

Savannah J Kim DDS Ms Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Savannah J. Kim DDS Ms, Inc.

  dba Sunnyvale Pediatric Dentistry

  • Pediatric Dentistry
  • Sunnyvale, CA
  • NPI 1265808638
  NPD tax ID
• Savannah J. Kim, DDS, Ms, Inc.

  • Dentist
  • Belmont, CA
  • NPI 1154755569
  NPD tax ID

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1841666203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RENATO CT STE B",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614017",
            "telephone_number": "650-365-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 RALSTON AVE STE 1B",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021664",
            "telephone_number": "650-591-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH J. KIM DDS MS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-365-3430"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood City Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Mateo County (Harbor)
• Hughette Santiago, LCSW
• Sarah Boro Licensed Clinical Social Worker, PC (Soulful Solutions)
• G. Thomas Satterfield, PH.D.
• Bertha Dolores Saucedo, PNP
• Savannah J. Kim, DDS, Ms, Inc.
• Saviano Chiropractic Center, Inc.
• Nicholas Paul Saviano, DC
• Marc A Schwartz
• Scoliosis Corner Physical Therapy Inc.

• Pediatric Dentistry in Belmont, CA
• Providers in Belmont, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.