Kei Young Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59699 Issued in CA

Practice address

14120 Beach Blvd Ste 112
Westminster, CA 92683-4454

Phone

(714) 894-0574

Fax

(903) 526-2704

NPI assigned

Oct 22, 2010

Last updated

Dec 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Dentistry

  • Dental Clinic/Center
  • Westminster, CA
  • NPI 1992216717
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1922308105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 112",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-894-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14120 BEACH BLVD STE 112",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834454",
            "telephone_number": "714-894-0574",
            "fax_number": "903-526-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KEI",
        "middle_name": "YOUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khue Quan, DDS, Inc
• Kiet a.T. Ton, MD, Corp.
• Kim Toan T DO (tana pharmacy)
• Kim-Oanh Thi Tran (Kim Pharmacy)
• Julia Rhee Kim, MPT
• NA Yeon Kim
• Richard Kim
• Shin Young Kim, PT
• Tanner Kinderman, DC
• Kitaya Lam Chiropractic PC (Chiroworks)

• General Practice Dentistry in Westminster, CA
• Providers in Westminster, 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 Dec 2, 2021; 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.