Paul Jay Kim, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

104752 Issued in CA

Practice address

3932 Wilshire Blvd Ste 300
Los Angeles, CA 90010-3307

Phone

(213) 386-7846

NPI assigned

Dec 11, 2019

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Male

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

Practice roles

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

• Gregory D. Kaplan,DDS

  dba Wilshire Center Dental Group

  • Dentist
  • Los Angeles, CA
  • NPI 1528070703

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• Kaplan Dental Corporation

  • Dentist
  • Los Angeles, CA
  • NPI 1457139057
  NPD (past)
• Wilshire Sleep Treatment Center, LLC

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1841726056
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1083252936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 PURDUE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 WILSHIRE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103307",
            "telephone_number": "213-386-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "PAUL",
        "middle_name": "JAY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "104752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Ahhee Kim
• Olivia Soohyun Kim, RPH
• Patricia Kim, N.D., M.S.O.M, L.AC.
• Paul Kim, DPT
• Paul Edwin Kim, M.D.
• Paul Sun Hyung Kim, M.D.
• Peter Kim
• Peter Kim, DDS
• Peter Kim, MD
• Peter Kim

• Orthodontics and Dentofacial Orthopedics Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.