Charles Shim D.D.S., a Dental Corpoation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56225 Issued in CA

Legal business name

CHARLES SHIM D.D.S., A DENTAL CORPOATION

Practice address

3288 E Anaheim St
Long Beach, CA 90804-3818

Phone

(213) 219-7635

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By 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

Dr. Charles Shim, D.D.S.NPI 1902006554

Title

President

Phone

(213) 219-7635

Specialties & licenses 1

Addresses

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.

• Charles Shim, D.D.S.

  • Dentist
  • Long Beach, CA
  • NPI 1902006554
  NPD (past) Authorized official

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1952707887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043818",
            "telephone_number": "213-219-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES SHIM D.D.S., A DENTAL CORPOATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-219-7635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Chapman
• Meggan Chappell
• Efrain Humberto Chara, DENTIST
• Naziya Nizarali Charaniya, NP-C
• Perry Charkatz, PSY.D.
• Austin Jerome Charles
• Chanel Charles
• Wesner Charles Jr.
• Corine Michele Charm, MFT
• Jonathan James Chase in Winter

• Dental Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.