Calvin S. Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49911 Issued in CA

Practice address

271 N Fairview Ave
Suite 103
Goleta, CA 93117-6284

Phone

(805) 692-5262

Fax

(805) 692-1417

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1003981440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 N FAIRVIEW AVE",
            "address_2": "SUITE 103",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931176284",
            "telephone_number": "805-692-5262",
            "fax_number": "805-692-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 N FAIRVIEW AVE",
            "address_2": "SUITE 103",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931176284",
            "telephone_number": "805-692-5262",
            "fax_number": "805-692-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CALVIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "49911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian David Kaminsky, PH.D.
• Nicole Karayan
• Lakhvir Kaur, EDS, PPS
• Drew G. Kelts, M.D.
• Omar Khan
• Da Bin Kim
• Jesse Gawsung Kim, DDS
• Soo Yeon Kim
• Sheyenne Mikaela Kirchoff
• Jennifer Ilene Klee-Bienstock, PT

• General Practice Dentistry in Goleta, CA
• Providers in Goleta, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.