BRIAN C KIM DDS INC (NPI# 1114559424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114559424 |
| Entity Type | Organization |
| Organization Name | BRIAN C KIM DDS INC |
| Practice Address |
222 N G St Ste 3 San Bernardino CA 92410-3217 |
| Practice Telephone | 9093837777 |
| Mailing Telephone | 9093837777 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DR. BRIAN CHONG-HAN KIM (PRESIDENT) |
| Authorized Official Telephone | 9093837777 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| central dental | Doing Business As Name - Organization |
| Street Address |
222 N G ST STE 3 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861750291 | Cental Dental | Dentist | 222 N G St Ste 3, San Bernardino, CA 92410-3217 | 2012-04-23 |
| 1841848108 | Jeonghyeon Yoon | Dentist | 222 N G St Ste 3, San Bernardino, CA 92410-3217 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457871758 | James R Pollard Dds Inc | Clinic/Center | 290 W. Orange Show Rd., Suite 105, San Bernardino, CA 92408 | 2017-06-27 |
| 1275946469 | Manlio F. Orozco Dds Inc. | Clinic/Center | 555 S Mount Vernon Ave Ste G, San Bernardino, CA 92410-2700 | 2014-06-05 |
| 1134358815 | Llu Faculty Dental Office | Clinic/Center | 159 W Hospitality Ln, San Bernardino, CA 92408-3346 | 2009-07-02 |
| 1386250215 | Dr. Luis G. Vargas A Dental Corporation | Clinic/Center | 965 S E St Ste N, San Bernardino, CA 92408-1940 | 2020-09-16 |
| 1912535071 | Hwang Dental Corporation | Clinic/Center | 1579 N D St, San Bernardino, CA 92405-4742 | 2020-04-01 |
| 1467085480 | Gg Lee, Dds, PC | Clinic/Center | 242 E Airport Dr Ste 100, San Bernardino, CA 92408-3408 | 2020-02-18 |
| 1053884924 | Pourshirazi & Sareh Dental Corp | Clinic/Center | 2015 N Waterman Ave Ste B, San Bernardino, CA 92404-4810 | 2019-01-03 |
| 1609390582 | Myron L Massey Dds Inc | Clinic/Center | 322 N H St, San Bernardino, CA 92410-3224 | 2017-08-01 |
| 1497132369 | Albert E Oh Dds Inc | Clinic/Center | 1579 N D St, San Bernardino, CA 92405-4742 | 2015-04-30 |
| 1447593330 | Zambrano & Alvarado Dds Inc | Clinic/Center | 695 W Highland Ave, San Bernardino, CA 92405-3812 | 2013-03-29 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
Please comment or provide details below to improve the information on BRIAN C KIM DDS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.