Joel Kim DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOEL KIM DMD INC

Doing business as

Children Dental World

Practice address

8485 Tamarind Ave
Fontana, CA 92335-3975

Phone

(909) 356-6852

NPI assigned

Jan 6, 2023

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Rangel

Title

Manager

Phone

(909) 453-0244

Specialties & licenses 1

Addresses

Other names 1

• Children Dental World Doing business as

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.

• Joel Kim DMD Inc

  dba Pacific Dental

  • General Practice Dentistry
  • Huntington Park, CA
  • NPI 1912264300
  NPD tax ID

Locations

Practitioners 1

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.

• Natalia Kim

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1578255964
  NPD

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1912611708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 TAMARIND AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353975",
            "telephone_number": "909-356-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 TAMARIND AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353975",
            "telephone_number": "909-356-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL KIM DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-453-0244"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children Dental World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ysolina Jimenez, D.D.S
• Maribel M Jimenez
• Jo-Ann de Jesus Africa DDS Inc
• Min Young Jo, DDS
• Jessica Pinpin Jocson, MD
• Heidi Gay Joffrion, PSY.D., M.F.T.
• Samir D. Johna, MD
• Flora H. Johnson, MD
• Janelle Johnson
• Kristel Angela Rodriguez Johnson

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.