Active NPI
Kyim Mung, DDS, MA
- Pediatric Dentistry
- Hanford, CA
National Provider Identifier
1255856191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 101778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231106002301 | CA | Order and Referring Only - Dentist | 4587011036 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37641 | TX | MD | Clinical Psychologist |
| 101778 | CA | MD | Marriage & Family Therapist |
| DDS101778 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Community Health Center | Current | Accepting new patients | |
| Aria Community Health Center | Past | Accepting new patients | |
| Alamo Kids Dental PLLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
329 W 8th St
Ste 103
Hanford, CA 93230
Phone (559) 587-2505
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Hanford, CA
- NPI 1225557739
-
- Federally Qualified Health Center (FQHC)
- Hanford, CA
- NPI 1467971960
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1982104139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.