Robert C. Kim, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT C. KIM, DDS, INC.

Practice address

15835 Pomerado Rd Ste 202
Poway, CA 92064-2042

Phone

(858) 485-8012

Fax

(858) 485-5615

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Robert C. Kim, DDS

Title

President

Phone

(858) 485-8012

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1013407410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15835 POMERADO RD STE 202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642042",
            "telephone_number": "858-485-8012",
            "fax_number": "858-485-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15835 POMERADO RD STE 202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642042",
            "telephone_number": "858-485-8012",
            "fax_number": "858-485-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. KIM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-485-8012",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelo R Rivera, M.D.
• Arlene Roacho
• Road 2 Recovery
• Peter A Robben, LCSW
• Amanda A Robershaw-Kilpatrick
• Robert W. Fattouch D.M.D., P.C.
• Christy Maria Roberts
• Cynthia Ann Robertson, MD
• Kristine Robinson, PA-C
• Randy Jon Robinson, PH.D.

• General Practice Dentistry in Poway, CA
• Providers in Poway, 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 Jan 23, 2025; 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.