Dentique

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTIQUE

Practice address

16960 Bastanchury Rd Ste B
Yorba Linda, CA 92886-1711

Phone

(412) 639-2666

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By 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

Dr. Cheryl Eunu Kim, DMDNPI 1043664162

Title

Dentist

Phone

(412) 639-2666

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Eunu Kim

  • Dentist
  • Los Angeles, CA
  • NPI 1043664162
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1851167373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 OCEAN VIEW BLVD",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201275",
            "telephone_number": "412-639-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16960 BASTANCHURY RD STE B",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928861711",
            "telephone_number": "412-639-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "EUNU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "412-639-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean F. Murphy, MD., Inc
• Diana Deangelo, M.S., MFTI
• Carrie R Delaurie
• Gregg Denicola, MD
• Adriana Dennick
• Harshavardhan Deoghare, PT, PHD
• Joseph Michael Destefano II, DAOM, L.AC., CMT
• Brandie Detar
• Gary L Devian, D.D.S.
• Diane Boval DDS a Professional Dental Corp (Gold Coast Dental)

• Dental Clinic/Center in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.