Active NPI
Elies Kim, D.D.S.
- Dentist
- Orange, CA
National Provider Identifier
1124540703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101559
- Practice address
- 1518 E Lincoln Ave
Orange, CA 92865-1928 - Phone
- (657) 282-0078
- NPI assigned
- Jul 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 101559 | CA | Primary |
Addresses
Primary practice location
1518 E Lincoln Ave
Orange, CA 92865-1928
Mailing address
1518 E Lincoln Ave
Orange, CA 92865-1928
Other practice location 1
2795 W Lincoln Ave Ste D
Anaheim, CA 92801-6334
Phone (714) 229-8553
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elies H. Kim, DDS, Inc. | Current | Accepting new patients | |
| Peter Y. Lee DMD Inc. | Past | Accepting new patients | |
| California Wave Dental Center | Past | Accepting new patients |
Locations
2795 W Lincoln Ave
Ste D
Anaheim, CA 92801
Phone (714) 229-8553
1500 E Katella Ave
Ste P
Orange, CA 92867
Phone (714) 844-6334
1518 E Lincoln Ave
Orange, CA 92865
Phone (657) 282-0078
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Orange, CA
- NPI 1538763743
-
- General Practice Dentistry
- Paramount, CA
- NPI 1447779871
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1427200500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1124540703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 E LINCOLN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 E LINCOLN AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651928",
"telephone_number": "657-282-0078"
}
],
"practiceLocations": [
{
"address_1": "2795 W Lincoln Ave Ste D",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928016334",
"country_code": "US",
"telephone_number": "714-229-8553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "ELIES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "101559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.