Active NPI
Jaesung Kim DMD Inc
Doing business as Dental Care of Oceanside
- Dental Clinic/Center
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JAESUNG KIM DMD INC
- Doing business as
- Dental Care of Oceanside
- Practice address
- 3776 Mission Ave Ste 138
Oceanside, CA 92058-1459 - Phone
- (760) 439-2626
- Fax
- (760) 439-2901
- NPI assigned
- Sep 23, 2019
- Last updated
- Sep 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaesung Kim, DMD
- Title
- Doctor/Owner
- Phone
- (760) 439-2626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
3776 Mission Ave Ste 138
Oceanside, CA 92058-1459
Mailing address
3776 Mission Ave Ste 138
Oceanside, CA 92058-1459
Phone (760) 439-2626
Other names 1
- DENTAL CARE OF OCEANSIDE
National Provider Directory
National Provider Directory- Tax ID family
- Dental Care of Oceanside
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Oceanside, CA
- NPI 1598313918
-
- General Practice Dentistry
- Oceanside, CA
- NPI 1639704422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569196800000",
"number": "1932750767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 MISSION AVE STE 138",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581459",
"telephone_number": "760-439-2626",
"fax_number": "760-439-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3776 MISSION AVE STE 138",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581459",
"telephone_number": "760-439-2626",
"fax_number": "760-439-2901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAESUNG KIM DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JAESUNG",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "760-439-2626",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DENTAL CARE OF OCEANSIDE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.