Active NPI
Alison Sooyung Kim, DDS
- General Practice Dentistry
- Waipahu, HI
National Provider Identifier
1063322089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 113672
- Practice address
- 94-779 Farrington Hwy Ste 301
Waipahu, HI 96797-3175 - Phone
- (808) 515-4222
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 113672 | CA | |
| General Practice Dentistry | 1223G0001X | 113672 | CA | Primary |
Addresses
Primary practice location
94-779 Farrington Hwy Ste 301
Waipahu, HI 96797-3175
Mailing address
7170 San Carmela CT
Rancho Cucamonga, CA 91739-1874
Other practice location 1
302 California Ave Ste 204
Wahiawa, HI 96786-1841
Phone (808) 622-2633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1063322089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7170 SAN CARMELA CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917391874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-779 FARRINGTON HWY STE 301",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973175",
"telephone_number": "808-515-4222"
}
],
"practiceLocations": [
{
"address_1": "302 California Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Wahiawa",
"state": "HI",
"postal_code": "967861841",
"country_code": "US",
"telephone_number": "808-622-2633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ALISON",
"middle_name": "SOOYUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113672",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "113672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.