JD KIM MD, DDS, INC
NPI 1598044356
Dentist - Oral and Maxillofacial Surgery in Riverside, CA

Active since August 11, 2011
4000 TYLER ST STE A, RIVERSIDE, CA 92503(951) 687-4460(951) 687-7448 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jd Kim Md, Dds, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JD KIM MD, DDS, INC (NPI 1598044356) is a healthcare organization registered as an oral and maxillofacial surgery in Riverside, California and active in the NPI registry since August 2011. The organization lists Jeong Doo Kim, President, as its authorized official.

NPPES Registry Identity

NPI1598044356
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJD KIM MD, DDS, INC
Location Address4000 TYLER ST STE ARiverside, CA 92503-3458
Mailing Address20760 Paseo De La RamblaYorba Linda, CA 92887 · (310) 713-5159 · Fax (951) 687-7448
Fax(951) 687-7448
Organization SubpartNo
Authorized OfficialJeong Doo KimPresident · (310) 713-5159
Enumeration DateAugust 11, 2011
NPI 1598044356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 50622
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4000 TYLER ST STE A, Riverside, CA 92503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
4000 TYLER ST STE A
RIVERSIDE, CA 92503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jd Kim MD, Dds, Inc's NPI number?

The NPI number for Jd Kim MD, Dds, Inc is 1598044356. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Jd Kim MD, Dds, Inc located?

Jd Kim MD, Dds, Inc is located at 4000 Tyler St Ste A, Riverside, CA 92503. The listed phone number is (951) 687-4460.

What is Jd Kim MD, Dds, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jd Kim MD, Dds, Inc was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.