Individual provider Active NPI

Minjae Kim, DMD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1033721857
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105331 Issued in CA
Practice address
133 Kearny St Ste 301
San Francisco, CA 94108-4811
Phone
(415) 989-3648
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105331 CA Primary

Addresses

Primary practice location

133 Kearny St Ste 301
San Francisco, CA 94108-4811

Mailing address

228 Encounter Bay
Alameda, CA 94502-7909
Phone (510) 821-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105331CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Minjae Kim DMD, Inc. General Practice CurrentSince Oct 5, 2025 Accepting new patients
Baysac Dental Group San Francisco 133 Kearny PC CurrentSince Oct 5, 2025 Accepting new patients

Locations

133 Kearny St
Ste 301
San Francisco, CA 94108
Phone (415) 989-3648

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1033721857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ENCOUNTER BAY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027909",
            "telephone_number": "510-821-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KEARNY ST STE 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084811",
            "telephone_number": "415-989-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINJAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.