NPIMap

Organization Active NPI

Yong Chin Kim, DDS, MSD, Inc

  • Endodontics
  • Yuba City, CA
National Provider Identifier
1891105128
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
50621 Issued in CA
Legal business name
YONG CHIN KIM, DDS, MSD, INC
Practice address
1465 Live Oak Blvd
Yuba City, CA 95991-2920
Phone
(530) 673-1401
Fax
(530) 673-1466
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Yong Kim, DDSNPI 1811924202
Title
President
Phone
(702) 419-6906

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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 50621 CA Primary

Addresses

Primary practice location

1465 Live Oak Blvd
Yuba City, CA 95991-2920

Mailing address

1465 Live Oak Blvd
Yuba City, CA 95991-2920
Phone (530) 673-1401

National Provider Directory

National Provider Directory

Locations

1465 Live Oak Blvd
Yuba City, CA 95991
Phone (530) 673-1401

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1891105128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912920",
            "telephone_number": "530-673-1401",
            "fax_number": "530-673-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 LIVE OAK BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912920",
            "telephone_number": "530-673-1401",
            "fax_number": "530-673-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG CHIN KIM, DDS, MSD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-419-6906",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "50621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.