DEL AMO DENTAL OFFICE
NPI 1275753733
Dentist in Cerritos, CA

NPI Status: Active since April 26, 2007

Contact Information

11899 DEL AMO BLVD
CERRITOS, CA
ZIP 90703
Phone: (562) 402-4411
Fax: (562) 402-5052

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  • Organization
  • Dentist

About DEL AMO DENTAL OFFICE

This page provides the complete NPI Profile along with additional information for Del Amo Dental Office, a provider established in Cerritos, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1275753733 assigned on April 2007. The practitioner's primary taxonomy code is 122300000X with license number 49769 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Del Amo Dental Office. The authorized official of this NPI record is Dr. Peter Ung Kwon Kim D.d.s. (President)

NPI
1275753733
Provider Legal Name
PETER KIM, D.D.S., P.C.
Other Organization Name
DEL AMO DENTAL OFFICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11899 DEL AMO BLVD CERRITOS, CA 90703
Location Phone
(562) 402-4411
Location Fax
(562) 402-5052
Mailing Address
11899 DEL AMO BLVD CERRITOS, CA 90703
Mailing Phone
(562) 402-4411
Mailing Fax
(562) 402-5052
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Del Amo Dental Office is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
49769
License State
CA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PETER UNG KWON KIM D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(562) 402-4411

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G92845-01OTHER (01)CADENTICAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275753733
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145145676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 5 + 6 + 7 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1275753733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

KEVIN SEUNGJOON HYUN D.D.S. INC

Clinic/Center

(Dental)

11899 DEL AMO BLVD
CERRITOS, CA
ZIP 90703

(562) 402-4411

DR. SEUNG JOON HYUN DDS

Dentist

(General Practice)

11899 DEL AMO BLVD
CERRITOS, CA
ZIP 90703

(562) 402-4411

PETER KIM, D.D.S., PROFESSIONAL CORP.

Preferred Provider Organization

11899 DEL AMO BLVD
CERRITOS, CA
ZIP 90703

(562) 402-4411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275753733, enumerated as an "organization" on April 26, 2007.

The provider is located at 11899 DEL AMO BLVD CERRITOS, CA 90703 and the phone number is (562) 402-4411.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.