Active NPI
Dean Daehyun Kim, D.D.S.
- General Practice Dentistry
- Visalia, CA
National Provider Identifier
1073513149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45276
- Practice address
- 501 S Santa Fe St
Visalia, CA 93292-2940 - Phone
- (559) 564-8014
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45276 | CA | Primary |
Addresses
Primary practice location
501 S Santa Fe St
Visalia, CA 93292-2940
Mailing address
2924 W Taylor Ave
Visalia, CA 93291-8664
Phone (559) 564-8014
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45276 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1073513149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 W TAYLOR AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918664",
"telephone_number": "559-564-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S SANTA FE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932922940",
"telephone_number": "559-564-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DEAN",
"middle_name": "DAEHYUN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.