Andrea Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111823 Issued in CA

Practice address

2229 Santa Clara Ave
Alameda, CA 94501-4472

Phone

(510) 521-3300

NPI assigned

Aug 1, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1063396182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SUNSET LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331733",
            "telephone_number": "714-743-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 SANTA CLARA AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014472",
            "telephone_number": "510-521-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bilaal Akram Khan
• Zahra Khan
• Sneha Vijay Kherde
• Sokley Khoi, PH.D.
• Suzy Kim-Tran, LCSW
• Dong Hyun Kim, DDS
• Eileen Hee-Un Kim, O.D.
• Hernan Kim, PT, DPT
• Joshua Kim, D.O.
• Peter Kim, PHARM.D

• General Practice Dentistry in Alameda, CA
• Providers in Alameda, 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 Aug 27, 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.