Individual provider Active NPI

Nayeoun Kim, DDS

  • General Practice Dentistry
  • Salinas, CA
National Provider Identifier
1356004691
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106866 Issued in CA
Practice address
1970 N Main St
Salinas, CA 93906-2036
Phone
(831) 424-4230
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106866 CA Primary

Addresses

Primary practice location

1970 N Main St
Salinas, CA 93906-2036

Mailing address

125 Surf Way Apt 414
Monterey, CA 93940-3417
Phone (347) 267-5384

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina@salinassmiles.com

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
106866CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James & Ha Jung Kim DDS, Inc PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1356004691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SURF WAY APT 414",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403417",
            "telephone_number": "347-267-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939062036",
            "telephone_number": "831-424-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "NAYEOUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina@salinassmiles.com",
            "affiliation": "N",
            "address_1": "1970 N Main St",
            "city": "Salinas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939062036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.