Individual provider Active NPI

Kyim Mung, DDS, MA

  • Pediatric Dentistry
  • Hanford, CA
National Provider Identifier
1255856191
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
101778 Issued in CA
Practice address
329 W 8TH St Ste 103
Hanford, CA 93230-4533
Phone
(559) 587-2505
Fax
(559) 587-2510
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS101778 CA
Student in an Organized Health Care Education/Training Program 390200000X 101778 CA
Pediatric Dentistry 1223P0221X 101778 CA Primary
Pediatric Dentistry 1223P0221X 37641 TX

Addresses

Primary practice location

329 W 8TH St Ste 103
Hanford, CA 93230-4533

Mailing address

833 Greenfield Ave Ste 105
Hanford, CA 93230-3673
Phone (951) 531-3255

Other practice location 1

329 W 8th St Ste 107
Hanford, CA 93230-4533
Phone (559) 587-2505

Other practice location 2

833 Greenfield Ave Ste 105
Hanford, CA 93230-3673
Phone (951) 531-3255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106002301 CA Order and Referring Only - DentistPractitioner - Dentist 4587011036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37641TXMDClinical Psychologist
101778CAMDMarriage & Family Therapist
DDS101778CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Community Health Center CurrentSince Sep 14, 2025 Accepting new patients
Aria Community Health Center PastSince Dec 15, 2019 Accepting new patients
Alamo Kids Dental PLLC Pediatric Dentistry PastSince Aug 1, 2021 Accepting new patients

Locations

329 W 8th St
Ste 103
Hanford, CA 93230
Phone (559) 587-2505

Interoperability endpoints

  • Direct secure messaging: kyim.mung.p1@direct.ariachc.nextgenshare.com

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1255856191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 GREENFIELD AVE STE 105",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303673",
            "telephone_number": "951-531-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 8TH ST STE 103",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304533",
            "telephone_number": "559-587-2505",
            "fax_number": "559-587-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 W 8th St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304533",
            "country_code": "US",
            "telephone_number": "559-587-2505",
            "fax_number": "559-587-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Greenfield Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303673",
            "country_code": "US",
            "telephone_number": "951-531-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNG",
        "first_name": "KYIM",
        "name_prefix": "Dr.",
        "credential": "DDS, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101778",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "101778",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101778",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "37641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.