Seung Hwan Kim, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

65350 Issued in CA

Practice address

13252 Century Blvd Ste Q
Garden Grove, CA 92843-1257

Phone

(714) 591-5190

NPI assigned

Mar 14, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Kim Dental Corporation

  • General Practice Dentistry
  • La Habra, CA
  • NPI 1952874810
  Medicare reassignment NPD Authorized official
• Seung Hwan Kim, DDS, Inc

  • Dental Clinic/Center
  • Garden Grove, CA
  • NPI 1689198806
  Medicare reassignment Authorized official
• Chong Kenneth Ye, DMD, Inc.

  • Dentist
  • La Habra, CA
  • NPI 1215201488
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972964260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16614 ADLER RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386587",
            "telephone_number": "213-505-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13252 CENTURY BLVD STE Q",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431257",
            "telephone_number": "714-591-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 S Euclid St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928021247",
            "country_code": "US",
            "telephone_number": "714-533-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEUNG HWAN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rin Kim
• Roland Yongchul Kim, PH.D.
• Sandy Soyon Kim, DDS
• Scott H Kim, PHARMD
• Seonhoon Sean Kim, D.C.
• Soo Kim, MS
• Sun Hyu Kim, L.AC.
• Sung Jin Kim
• Sunwoo Kim, L.AC
• Tchang Jun Kim, MD

• Dentist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.