Active NPI
Joseph K Kim, D.D.S.
- General Practice Dentistry
- Santa Ana, CA
National Provider Identifier
1982749974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38312
- Practice address
- 800 N Tustin Ave Ste L
Santa Ana, CA 92705-3605 - Phone
- (714) 836-8200
- Fax
- (714) 836-4758
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38312 | CA | Primary |
Addresses
Primary practice location
800 N Tustin Ave Ste L
Santa Ana, CA 92705-3605
Mailing address
800 N Tustin Ave Ste L
Santa Ana, CA 92705-3605
Phone (714) 836-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38312 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph K. Kim DDS, Inc. | Current | Accepting new patients |
Locations
800 N Tustin Ave
Ste L
Santa Ana, CA 92705
Phone (714) 836-8200
Organizations & group practices 1
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.
-
- Dentist
- Santa Ana, CA
- NPI 1710826177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982749974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N TUSTIN AVE STE L",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053605",
"telephone_number": "714-836-8200",
"fax_number": "714-836-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N TUSTIN AVE STE L",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053605",
"telephone_number": "714-836-8200",
"fax_number": "714-836-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOSEPH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.