Jin Y Kim Dental Group Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

JIN Y KIM DENTAL GROUP INC

Practice address

20657 Golden Springs Dr Ste 205B
Diamond Bar, CA 91789-3837

Phone

(909) 859-8800

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Jin Young Kim, DDSNPI 1922296623

Title

Ceo

Phone

(909) 859-8800

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jin Young Kim, D.D.S.

  • Prosthodontics
  • Diamond Bar, CA
  • NPI 1922296623
  NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1871121707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR STE 205B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893837",
            "telephone_number": "909-859-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20657 GOLDEN SPRINGS DR STE 205B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917893837",
            "telephone_number": "909-859-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN Y KIM DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN YOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-859-8800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayant I. Bhatt, DDS
• Jeon Cho Dental Partnership
• Jeung Chiropractic, Inc.
• Jong E Jeung, DC
• Giselle Margarita Jimenez
• JJS Pharmacy LLC (JJS Pharmacy)
• JMJ Therapea Corporation (JMJ Therapea Home Health Services)
• Joanne Leung D.D.S, a Professional Corp.
• John Tchaboukian DDS Inc (Diamond Bar Dental)
• Dollin Johnson

• Prosthodontics in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.