KIM & KIM DDS DENTAL CORPORATION (NPI# 1346579141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346579141 |
| Entity Type | Organization |
| Organization Name | KIM & KIM DDS DENTAL CORPORATION |
| Practice Address |
17220 Newhope St Suite 201 Fountain Valley CA 92708-4272 |
| Practice Telephone | 7145490911 |
| Practice Fax Number | 7145499115 |
| Mailing Telephone | 7145490911 |
| Mailing Fax Number | 7145499115 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | ANDREW CHUN KIM (PRESIDENT) |
| Authorized Official Telephone | 7145490911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
42738 | CA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
42748 | CA | Dental Providers |
| Street Address |
17220 NEWHOPE ST SUITE 201 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698767 | Duke A Phan Md Neurology Inc | Psychiatry & Neurology | 17220 Newhope St, Suite 217, Fountain Valley, CA 92708-4272 | 2005-09-07 |
| 1639669963 | Betty Marin | Registered Nurse | 17220 Newhope St, Fountain Valley, CA 92708-4272 | 2018-05-11 |
| 1871902239 | Kelly Lin | Marriage & Family Therapist | 17220 Newhope St, #205, Fountain Valley, CA 92708-4272 | 2014-08-10 |
| 1295165686 | Cindy Majdecki | Acupuncturist | 17220 Newhope St, Suite 123, Fountain Valley, CA 92708-4272 | 2013-11-20 |
| 1043590250 | Kaitlyn Phuong Nguyen | Physician Assistant | 17220 Newhope St, #125, Fountain Valley, CA 92708-4272 | 2011-08-18 |
| 1932403441 | Acessmd Medical Group, Inc | Internal Medicine | 17220 Newhope St, #125, Fountain Valley, CA 92708-4272 | 2010-12-28 |
| 1396055414 | Advanced Healthcare Associates, Inc | Internal Medicine | 17220 Newhope St, 125, Fountain Valley, CA 92708-4272 | 2010-10-08 |
| 1073843660 | Andrew Chun Kim | Dentist | 17220 Newhope St, Suite 201, Fountain Valley, CA 92708-4272 | 2010-01-05 |
| 1437352630 | Duke An Michael Phan | Psychiatry & Neurology | 17220 Newhope St, Suite 217, Fountain Valley, CA 92708-4272 | 2007-06-06 |
| 1801019443 | Philip Matthew Nisco | Dentist | 17220 Newhope St, Ste 227, Fountain Valley, CA 92708-4272 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477892610 | Kent N. Do., D.m.d., Inc. | Dentist | 9368 Lombardi Avenue, Fountain Valley, CA 92708 | 2013-02-07 |
| 1386645984 | Quy N Kim | Dentist | 11100 Warner Ave, Fountain Valley, CA 92708-7511 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on KIM & KIM DDS DENTAL CORPORATION.
| 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.