Brian D Kim DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIAN D KIM DDS INC

Practice address

12721 Newport Ave Ste 1
Tustin, CA 92780-8031

Phone

(714) 730-8070

Fax

(714) 730-8112

NPI assigned

Aug 25, 2008

Last updated

Oct 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Kim, DDSNPI 1598989063

Title

Dentist/Owner

Phone

(714) 730-8070

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Kim, DDS

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1598989063
  Medicare reassignment Authorized official
• Alana Saltzberg, DDS

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1386014777
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1215184072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12721 NEWPORT AVE STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808031",
            "telephone_number": "714-730-8070",
            "fax_number": "714-730-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 NEWPORT AVE STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808031",
            "telephone_number": "714-730-8070",
            "fax_number": "714-730-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25211 Paseo De Alicia Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534614",
            "country_code": "US",
            "telephone_number": "949-680-4707",
            "fax_number": "949-680-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIAN D KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-730-8070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50765",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.