Kimball Dental Group of Laguna Hills, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIMBALL DENTAL GROUP OF LAGUNA HILLS, PC

Doing business as

Stan Kimball, DDS

Practice address

23961 Calle de la Magdalena Ste 102
Laguna Hills, CA 92653-3616

Phone

(949) 586-6030

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Twyla Pardon

Title

Regional Director of Operations

Phone

(714) 420-0952

Specialties & licenses 1

Addresses

Other names 1

• Stan Kimball, DDS Doing business as

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1952952038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31752 COAST HWY STE 300",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516782",
            "telephone_number": "714-420-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA STE 102",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-586-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALL DENTAL GROUP OF LAGUNA HILLS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "PARDON",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-420-0952"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stan Kimball, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enoch Kim, D.D.S.
• Jennifer Sooyoung Kim, PA-C
• Julie Kim, MD
• Moses M Kim, MD
• Yong-Sik Kim, MD
• Stanley C Kimball III, DDS
• King Premium Care
• Renee D King, PHARMD
• Alexa Ray Kinley, HS
• Kintsugi Health

• Dentist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.