NPIMap

Organization Active NPI

Rick T. Kim DDS Inc.

  • General Practice Dentistry
  • Rialto, CA
National Provider Identifier
1932465671
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48622 Issued in CA
Legal business name
RICK T. KIM DDS INC.
Practice address
1374 W Foothill Blvd Ste 2E
Rialto, CA 92376-4621
Phone
(909) 874-7444
Fax
(909) 874-7453
NPI assigned
Apr 6, 2012
Organization subpart
Yes
Parent organization
RICK T. KIM DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Rick Tae Kim, DDS
Title
Ceo
Phone
(909) 874-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48622 CA Primary

Addresses

Primary practice location

1374 W Foothill Blvd Ste 2E
Rialto, CA 92376-4621

Mailing address

1374 W Foothill Blvd Ste 2E
Rialto, CA 92376-4621
Phone (909) 874-7444

National Provider Directory

National Provider Directory
Tax ID family
Rick T Kim DDS Inc8 organizations share this tax ID, including this one
Part of
Rick T Kim DDS Inc

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1932465671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 W FOOTHILL BLVD STE 2E",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764621",
            "telephone_number": "909-874-7444",
            "fax_number": "909-874-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 W FOOTHILL BLVD STE 2E",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764621",
            "telephone_number": "909-874-7444",
            "fax_number": "909-874-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK T. KIM DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICK T. KIM DDS INC",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "TAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-874-7444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

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