Sooyong Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

56461 Issued in CA

Practice address

3307 Alta Arden Expy
Sacramento, CA 95825-2102

Phone

(916) 974-1819

Fax

(916) 974-7568

NPI assigned

Jan 14, 2008

Sex

Male

Sole proprietor

No

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)

Enrolled

Interoperability endpoints

• Direct secure messaging: skim@direct.westerndental.com

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1063698629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 ALTA ARDEN EXPY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252102",
            "telephone_number": "916-974-1819",
            "fax_number": "916-974-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 ALTA ARDEN EXPY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252102",
            "telephone_number": "916-974-1819",
            "fax_number": "916-974-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOOYONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyoung Kim
• Seyun Kim, MD
• Shirley Kim
• Si-Hyun Sy Kim, D.D.S
• Soo Kyoung Joanna Kim, MD
• Sung J Kim, PH.D., OMD, L.AC.
• Sung J. Kim, MD
• Susan Young Kim, MD
• Suzy Monika Kim, DPT
• Taelim Kim

• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.