NPIMap

Organization Active NPI

Gitae Kim Dental Group Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1962919571
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
58750 Issued in CA
Legal business name
GITAE KIM DENTAL GROUP INC
Practice address
3054 W 8TH St Ste 106
Los Angeles, CA 90005-1895
Phone
(213) 384-2864
Fax
(213) 384-2386
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Dr. Gitae Kim, DDSNPI 1407180342
Title
Dentist and Owner
Phone
(213) 384-2864

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 58750 CA Primary

Addresses

Primary practice location

3054 W 8TH St Ste 106
Los Angeles, CA 90005-1895

Mailing address

3054 W 8TH St Ste 106
Los Angeles, CA 90005-1895
Phone (213) 384-2864

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.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1962919571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 W 8TH ST STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051895",
            "telephone_number": "213-384-2864",
            "fax_number": "213-384-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 W 8TH ST STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051895",
            "telephone_number": "213-384-2864",
            "fax_number": "213-384-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GITAE KIM DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GITAE",
        "authorized_official_title_or_position": "DENTIST AND OWNER",
        "authorized_official_telephone_number": "213-384-2864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.