David S. Kim, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

51091 Issued in CA

Practice address

25078 Peachland Ave
#G
Santa Clarita, CA 91321-2533

Phone

(661) 255-0220

Fax

(661) 255-9577

NPI assigned

Mar 3, 2008

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)

Enrolled

State licenses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1154591410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE.",
            "address_2": "#G",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212533",
            "telephone_number": "661-255-0220",
            "fax_number": "661-255-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE",
            "address_2": "#G",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212533",
            "telephone_number": "661-255-0220",
            "fax_number": "661-255-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Young Kim, L.AC.
• Chae Young Kim
• Christine Kim, MS, RD
• Christopher Kim, M.D.
• Daniel C Kim, PHARM D.
• Grace B Kim
• Hong Suk Kim, D.O.M., L.AC.
• Hyunbum Issac Kim
• Hyung S Kim, M.D.
• Jae Min Kim

• Dentist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.