Minyoung Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100431 Issued in CA

Practice address

4140 Tyler St
Riverside, CA 92503-3445

Phone

(951) 324-1483

NPI assigned

Jul 18, 2016

Last updated

Oct 30, 2018By 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

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.

• JH Chun Dental Corporation

  dba Dental Kidz Club

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1184036873
  NPD (past)
• JH Chun Dental Corporation

  dba Dental Kidz Club

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1831496991
  NPD (past)

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1932552726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25590 PROSPECT AVE APT 48C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543156",
            "telephone_number": "909-312-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 TYLER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033445",
            "telephone_number": "951-324-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 W Badillo St",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917223762",
            "country_code": "US",
            "telephone_number": "626-332-4063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINYOUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Won Kim, DDS
• Kristen S Kim
• Kwang Kim, MD, MBA
• Matthew Kim
• Mi Song Kim, MD
• Ok Suk Kim, MD
• Ook Kim, M.D.
• Rebecca Kyung-Nan Kim
• Ronald Kim
• Sarah Kim, DMD

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.