Dr Kim Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR KIM DENTAL CORPORATION

Practice address

651 S Beach Blvd
La Habra, CA 90631-5854

Phone

(562) 691-3697

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Seung Hwan Kim, D.D.S.NPI 1972964260

Title

Ceo/President

Phone

(213) 505-2088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Seung Hwan Kim, D.D.S

  • Dentist
  • Garden Grove, CA
  • NPI 1972964260
  Medicare reassignment NPD Authorized official
• Chong Kenneth Ye, D.M.D.

  • Dentist
  • La Habra, CA
  • NPI 1619036472
  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1952874810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S BEACH BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S BEACH BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315854",
            "telephone_number": "562-691-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEUNG HWAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "213-505-2088",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Dong
• Samuel W Doolittle, MD
• Douglas S. Daniels, D.M.D. Inc.
• Linda Douglass, AGACNP-BC
• Martha E Dovali, DDS
• Dr. Barraza-Reyes, PHD, a Psychological Corporation
• Dr.Jatin P. Shah, D.D.S. , Inc.
• DTM Investments LLC
• Deep R Dudeja, M.D.
• Gary Duffield, L. AC.

• General Practice Dentistry in La Habra, CA
• Providers in La Habra, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.