NPIMap

Organization Active NPI

Rick T. Kim DDS Inc.

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1861752107
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48622 Issued in CA
Legal business name
RICK T. KIM DDS INC.
Practice address
650 S Lincoln Ave Ste 102
Corona, CA 92882-3540
Phone
(951) 372-0440
Fax
(951) 372-0660
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RICK T. KIM DDS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Rick T Kim, DDS
Title
Ceo
Phone
(951) 372-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48622 CA Primary

Addresses

Primary practice location

650 S Lincoln Ave Ste 102
Corona, CA 92882-3540

Mailing address

650 S Lincoln Ave Ste 102
Corona, CA 92882-3540
Phone (951) 372-0440

National Provider Directory

National Provider Directory
Tax ID family
Rick T Kim DDS Inc8 organizations share this tax ID, including this one
Part of
Rick T Kim DDS Inc

Other organizations with this tax ID 7

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

Locations

650 S Lincoln Ave
Ste 102
Corona, CA 92882
Phone (951) 273-9477

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1861752107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S LINCOLN AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823540",
            "telephone_number": "951-372-0440",
            "fax_number": "951-372-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S LINCOLN AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823540",
            "telephone_number": "951-372-0440",
            "fax_number": "951-372-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK T. KIM DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICK T. KIM DDS INC.",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-372-0440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.