NPIMap

Organization Active NPI

Young R. Kim, DDS, Inc

  • Dentist
  • Buena Park, CA
National Provider Identifier
1912248832
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47495 Issued in CA
Legal business name
YOUNG R. KIM, DDS, INC
Practice address
5300 Beach Blvd.
#109
Buena Park, CA 90621-1291
Phone
(714) 522-3734
Fax
(714) 522-1291
NPI assigned
Mar 4, 2013
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mr. William Youngryut Kim, DDS
Title
Owner/Dentist
Phone
(714) 522-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 47495 CA Primary

Addresses

Primary practice location

5300 Beach Blvd.
#109
Buena Park, CA 90621-1291

Mailing address

5300 Beach Blvd.
#109
Buena Park, CA 90621-1291
Phone (714) 522-3734

National Provider Directory

National Provider Directory

Locations

5300 Beach Blvd
Ste 109
Buena Park, CA 90621
Phone (714) 522-3734

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.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1912248832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BEACH BLVD.",
            "address_2": "#109",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211291",
            "telephone_number": "714-522-3734",
            "fax_number": "714-522-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BEACH BLVD.",
            "address_2": "#109",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211291",
            "telephone_number": "714-522-3734",
            "fax_number": "714-522-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG R. KIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "YOUNGRYUT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "714-522-3734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.