Diana Kim Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DIANA KIM DENTAL INC

Practice address

827 W Valley Blvd
Colton, CA 92324-2001

Phone

(909) 825-2175

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Mayra Castellon

Title

Secretary

Phone

(626) 200-3010

Specialties & licenses 1

Addresses

Practitioners 1

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

• Diana Maria Kim

  • Dentist
  • Colton, CA
  • NPI 1861957870
  NPD

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1902364185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242001"
        },
        {
            "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": {
        "organization_name": "DIANA KIM DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "CASTELLON",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-200-3010"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Dhillon
• Poonam Dhiman
• Jayshree Nikhil Dhruva, RPH
• Diagnovera Inc
• Dialysis Center of Colton, a California General Partnership
• Matthew Patrick Diaz, D.O.
• Vianey Diaz, BA
• Donald Reed Dickinson III, DDS, MD
• Michael Difronzo
• Jessica Dimian

• Dental Clinic/Center in Colton, CA
• Providers in Colton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.