Joseph J. Kim

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

103685 Issued in CA

Practice address

72415 Parkview Dr
Palm Desert, CA 92260-2779

Phone

(760) 568-5192

NPI assigned

Oct 3, 2019

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 4, 2023 through Jan 4, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Joseph J. Kim, DDS, Inc.

  • Periodontics
  • Palm Desert, CA
  • NPI 1144882978
  NPD (past) Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1154962884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35948 MICHELLE LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231649",
            "telephone_number": "909-430-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72415 PARKVIEW DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602779",
            "telephone_number": "760-568-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "103685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Maria Kessler
• Laya Khan
• Khodai Optometric Vision Center
• Sarah Anvari Khoshniyati, DDS
• Changhyun Kim, M.D.
• Kelly Min Ah Kim
• Kimberly Swanson Rdhap, P.C. (Smiles for Life, A Dental Hygiene Practice of Kimberly Swanson RDHAP)
• King Hearing Aid Centers
• Christian Nathaniel King
• Kasia King

• Periodontics in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.