Individual provider Active NPI

Kevin Kim, DDS

  • Dentist
  • Norco, CA
National Provider Identifier
1346468618
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103535 Issued in CA
Practice address
982 Hamner Ave
Norco, CA 92860-3111
Phone
(951) 736-8120
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103535 CA Primary

Addresses

Primary practice location

982 Hamner Ave
Norco, CA 92860-3111

Mailing address

982 Hamner Ave
Norco, CA 92860-3111
Phone (951) 736-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22390TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Y Kim DDS Inc CurrentSince Sep 12, 2021 Accepting new patients
Round Rock Dentistry Past Accepting new patients
Hidden Valley Dental Group PastSince Dec 5, 2019 Accepting new patients
KGC Dental, PLLC Past Accepting new patients

Locations

982 Hamner Ave
Norco, CA 92860
Phone (951) 736-8120

Organizations & group practices 4

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1346468618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 HAMNER AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603111",
            "telephone_number": "951-736-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 HAMNER AVE",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603111",
            "telephone_number": "951-736-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.