NPIMap

Organization Active NPI

Joel Kim DMD Inc

Doing business as Pacific Dental

  • General Practice Dentistry
  • Huntington Park, CA
National Provider Identifier
1912264300
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59620 Issued in CA
Legal business name
JOEL KIM DMD INC
Doing business as
Pacific Dental
Practice address
7128 Pacific Blvd
Suite B
Huntington Park, CA 90255-4776
Phone
(323) 588-0400
Fax
(323) 588-1854
NPI assigned
Apr 23, 2012
Last updated
Apr 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Joel Kim, DMD
Title
Ceo
Phone
(818) 421-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59620 CA Primary

Addresses

Primary practice location

7128 Pacific Blvd
Suite B
Huntington Park, CA 90255-4776

Mailing address

7128 Pacific Blvd
Suite B
Huntington Park, CA 90255-4776
Phone (323) 588-0400

Other names 1

  • Pacific Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children Dental World2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7128 Pacific Blvd
Ste B
Huntington Park, CA 90255
Phone (323) 588-0400

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1912264300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 PACIFIC BLVD",
            "address_2": "SUITE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554776",
            "telephone_number": "323-588-0400",
            "fax_number": "323-588-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 PACIFIC BLVD",
            "address_2": "SUITE B",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554776",
            "telephone_number": "323-588-0400",
            "fax_number": "323-588-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL KIM DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-421-0742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.