Active NPI
Daniel D Kim, D.D.S.
- Endodontics
- La Habra, CA
National Provider Identifier
1851447650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 52741
- Practice address
- 1480 S Harbor Blvd Ste 5
La Habra, CA 90631 - Phone
- (714) 870-5200
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 52741 | CA | Primary |
Addresses
Primary practice location
1480 S Harbor Blvd Ste 5
La Habra, CA 90631
Mailing address
1480 S Harbor Blvd Ste 5
La Habra, CA 90631-7564
Phone (714) 870-5200
Other practice location 1
8126A Long Point Rd
Houston, TX 77055-2006
Phone (713) 647-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Orange County Dental Specialty Center | Endodontics | Past | Accepting new patients |
| K2Y Dental PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- La Habra, CA
- NPI 1619468832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1851447650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 S HARBOR BLVD STE 5",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906317564",
"telephone_number": "714-870-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 S HARBOR BLVD STE 5",
"city": "LA HABRA",
"state": "CA",
"postal_code": "90631",
"telephone_number": "714-870-5200"
}
],
"practiceLocations": [
{
"address_1": "8126A Long Point Rd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770552006",
"country_code": "US",
"telephone_number": "713-647-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "52741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.