Individual provider Active NPI

Elies Kim, D.D.S.

  • Dentist
  • Orange, CA
National Provider Identifier
1124540703
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101559 Issued in CA
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

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Elies H. Kim, DDS, Inc. CurrentSince Dec 1, 2020 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.

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.

Verify at the official NPI Registry.