NPIMap

Organization Active NPI

Kang & Kim DDS, Inc

  • Dentist
  • West Covina, CA
National Provider Identifier
1972906808
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41741 Issued in CA
Legal business name
KANG & KIM DDS, INC
Practice address
451 N Azusa Ave
West Covina, CA 91791-1348
Phone
(626) 331-0333
Fax
(626) 331-8307
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Dr. Choon Kyung Kim, D.D.S.NPI 1225258163
Title
President
Phone
(626) 331-0333

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41741 CA Primary

Addresses

Primary practice location

451 N Azusa Ave
West Covina, CA 91791-1348

Mailing address

451 N Azusa Ave
West Covina, CA 91791-1348
Phone (626) 331-0333

National Provider Directory

National Provider Directory

Locations

451 N Azusa Ave
West Covina, CA 91791
Phone (626) 331-0333

Practitioners & affiliated clinicians

Practitioners 2

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": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1972906808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911348",
            "telephone_number": "626-331-0333",
            "fax_number": "626-331-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911348",
            "telephone_number": "626-331-0333",
            "fax_number": "626-331-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG & KIM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHOON",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-331-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.