Diana Maria Kim

Primary specialty

DentistTaxonomy code 122300000X

License

DDS103466 Issued in CA

Practice address

827 W Valley Blvd
Colton, CA 92324-2001

Phone

(909) 825-2175

NPI assigned

Feb 4, 2019

Last updated

Feb 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Diana Kim DDS a Dental Corporation

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1295386720
  NPD
• Diana Kim Dental Inc

  • Dental Clinic/Center
  • Colton, CA
  • NPI 1902364185
  NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1861957870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 BELPINE PL APT 18",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306772",
            "telephone_number": "909-660-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242001",
            "telephone_number": "909-825-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Care Nephrology, Inc.
• Kids Dental R US Colton (Kids Dental R Us)
• Brian Kim, MSN, CRNA
• Daniel Kim, PA-C
• David Jae Hyun Kim, MD
• Edwin Kim, MD
• Eleanor Kim, DO
• James Min Kim, M.D.
• Jiensup Kim, M.D.
• John Jin Kim, M.D.

• Dentist in Colton, CA
• Providers in Colton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.