OrganizationActive
Ted T. Im, DDS, Inc.
NPI 1770821423 · General Practice Dentistry · Moreno Valley, CA
Ted T. Im, DDS, Inc. is a General Practice Dentistry organization in Moreno Valley, CA (NPI 1770821423).
Provider details
- NPI number
- 1770821423
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ted Im, President(951) 242-6242
- License
- 40950 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
23205 Sunnymead Blvd
Moreno Valley, CA 92553-5246
Phone: (951) 242-6242
Fax: (951) 242-4782
Street-level locationGet directions
Mailing address
23205 Sunnymead Blvd
Moreno Valley, CA 92553-5246
Registry dates
- Enumerated
- 2013-01-30
- Last updated
- 2016-09-15
Frequently asked questions
- What is Ted T. Im, DDS, Inc.'s NPI number?
- Ted T. Im, DDS, Inc.'s National Provider Identifier (NPI) is 1770821423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ted T. Im, DDS, Inc.?
- Ted T. Im, DDS, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ted T. Im, DDS, Inc. located?
- Ted T. Im, DDS, Inc.'s practice location on file with NPPES is 23205 Sunnymead Blvd, Moreno Valley, CA 92553-5246.
- What is Ted T. Im, DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Ted T. Im, DDS, Inc. is (951) 242-6242.
- Who is the authorized official for Ted T. Im, DDS, Inc.?
- The authorized official listed on Ted T. Im, DDS, Inc.'s NPPES record is Ted Im, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ted T. Im, DDS, Inc.'s NPI active?
- Yes — Ted T. Im, DDS, Inc.'s NPI (1770821423) is active in the NPPES registry as of the last update on 2016-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.