NPIMap

Organization Active NPI

Douglas Kim DDS Inc

Doing business as First Dental Care

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1952782070
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63129 Issued in CA
Legal business name
DOUGLAS KIM DDS INC
Doing business as
First Dental Care
Practice address
2801 W Ball Rd
#10
Anaheim, CA 92804-4900
Phone
(714) 527-5656
Fax
(714) 527-7412
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Douglas Kim, DDSNPI 1083045173
Title
Owner
Phone
(562) 217-3382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63129 CA Primary

Addresses

Primary practice location

2801 W Ball Rd
#10
Anaheim, CA 92804-4900

Mailing address

2801 W Ball Rd
#10
Anaheim, CA 92804-4900
Phone (714) 527-5656

Other identifiers 1

IdentifierTypeStateIssuer
1083045173OtherCANPI TYPE 1

Other names 1

  • FIRST DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1952782070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W BALL RD",
            "address_2": "#10",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044900",
            "telephone_number": "714-527-5656",
            "fax_number": "714-527-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W BALL RD",
            "address_2": "#10",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044900",
            "telephone_number": "714-527-5656",
            "fax_number": "714-527-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-217-3382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1083045173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.