NPIMap

Organization Active NPI

Rick T Kim DDS Inc

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1891068748
Registry record updated Feb 8, 2023
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
24266 Postal Ave Ste 100
Moreno Valley, CA 92553-3081
Phone
(951) 656-0088
Fax
(951) 656-0034
NPI assigned
Feb 22, 2012
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Rick Tae Kim, DDS
Title
Ceo
Phone
(951) 656-0034

Specialties & licenses 1

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

Addresses

Primary practice location

24266 Postal Ave Ste 100
Moreno Valley, CA 92553-3081

Mailing address

24266 Postal Ave Ste 100
Moreno Valley, CA 92553-3081
Phone (951) 656-0088

National Provider Directory

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

Other organizations with this tax ID 7

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

Locations

23750 Alessandro Blvd
#102
Moreno Valley, CA 92553

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1891068748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24266 POSTAL AVE STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533081",
            "telephone_number": "951-656-0088",
            "fax_number": "951-656-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24266 POSTAL AVE STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533081",
            "telephone_number": "951-656-0088",
            "fax_number": "951-656-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK T KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "TAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-656-0034",
        "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 Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.