OrganizationActive
Kim Shimazu & Lee Dental Corp
NPI 1629186176 · Endodontics · Garden Grove, CA
Kim Shimazu & Lee Dental Corp is a Endodontics organization in Garden Grove, CA (NPI 1629186176).
Provider details
- NPI number
- 1629186176
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michael Kim, Owner(714) 530-7888
- License
- 36953 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12865 Main St Ste #201
Garden Grove, CA 92840
Phone: (714) 530-7888
Fax: (714) 530-1344
Street-level locationGet directions
Mailing address
12865 Main St Ste #201
Garden Grove, CA 92840
Other names (DBA / former)
- Doing business as
- Ivy Endodontic Group
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kim Shimazu & Lee Dental Corp's NPI number?
- Kim Shimazu & Lee Dental Corp's National Provider Identifier (NPI) is 1629186176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kim Shimazu & Lee Dental Corp?
- Kim Shimazu & Lee Dental Corp is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Kim Shimazu & Lee Dental Corp located?
- Kim Shimazu & Lee Dental Corp's practice location on file with NPPES is 12865 Main St Ste #201, Garden Grove, CA 92840.
- What is Kim Shimazu & Lee Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Kim Shimazu & Lee Dental Corp is (714) 530-7888.
- Who is the authorized official for Kim Shimazu & Lee Dental Corp?
- The authorized official listed on Kim Shimazu & Lee Dental Corp's NPPES record is Michael Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kim Shimazu & Lee Dental Corp's NPI active?
- Yes — Kim Shimazu & Lee Dental Corp's NPI (1629186176) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.