Peace Kim Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

63279 Issued in CA

Legal business name

PEACE KIM DENTAL, INC.

Practice address

18672 Florida St
Suite 301
Huntington Beach, CA 92648

Phone

(714) 596-2177

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Peace Kim, DDSNPI 1992103642

Title

Ceo

Phone

(949) 232-7965

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Peace P Kim, D.D.S

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1992103642
  NPD (past) Authorized official
• Robert M Mackie, DMD

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1326068024
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1982074241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONGBOURN AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926035722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST",
            "address_2": "SUITE 301",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-596-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE KIM DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PEACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-232-7965",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "63279",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Patton, BCBA
• Paul Blaze OD (Coast Optometric Center)
• Paul D. Rosenblit, M.D., Inc
• Mei Pauw, LMFT
• Jenna Noel Paxson
• Jacob Pearson
• Christina Vera Pechan, LMFT, APCC
• Sherry Peck, OTR/L
• Pediatric Care Medical Group, Inc.
• Farzin Benjamin Pedouim, M.D.

• Dentist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.