Active NPI
Fred J Kim DDS Inc
- Dentist
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51271
- Legal business name
- FRED J KIM DDS INC
- Doing business as
- Fred J Kim DDS Inc.
- Practice address
- 901 N Pacific Coast Hwy
Suite 200B
Redondo Beach, CA 90277 - Phone
- (310) 379-6798
- Fax
- (310) 379-6501
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fred J Kim, DDS
- Title
- Ceo
- Phone
- (310) 379-6798
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51271 | CA | Primary |
Addresses
Primary practice location
901 N Pacific Coast Hwy
Suite 200B
Redondo Beach, CA 90277
Mailing address
901 N Pacific Coast Hwy
Suite 200B
Redondo Beach, CA 90277
Phone (310) 379-6798
Other names 1
- Fred J Kim DDS Inc.
National Provider Directory
National Provider DirectoryLocations
901 N Pacific Coast Hwy
Ste 200B
Redondo Beach, CA 90277
Phone (310) 379-6798
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Redondo Beach, CA
- NPI 1174917884
-
- Dentist
- Redondo Beach, CA
- NPI 1265714067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375833600000",
"number": "1871628289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N PACIFIC COAST HWY",
"address_2": "SUITE 200B",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-379-6798",
"fax_number": "310-379-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PACIFIC COAST HWY",
"address_2": "SUITE 200B",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "90277",
"telephone_number": "310-379-6798",
"fax_number": "310-379-6501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED J KIM DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2013-08-07",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-379-6798",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "51271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fred J Kim DDS Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.