Individual provider Active NPI

Francisco Luis Kim, DDS

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1366721862
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60471 Issued in CA
Practice address
1150 N Harbor Blvd Ste 154
Anaheim, CA 92801-2400
Phone
(714) 635-1021
NPI assigned
Aug 15, 2011
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 60471 CA Primary

Addresses

Primary practice location

1150 N Harbor Blvd Ste 154
Anaheim, CA 92801-2400

Mailing address

1150 N Harbor Blvd Ste 154
Anaheim, CA 92801-2400
Phone (714) 635-1021

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

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Kim DDS Inc CurrentSince Sep 17, 2023 Accepting new patients

Locations

1150 N Harbor Blvd
Ste 154
Anaheim, CA 92801
Phone (714) 533-9622

1314 S Euclid St
Ste 206
Anaheim, CA 92802
Phone (714) 635-1021

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1366721862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N HARBOR BLVD STE 154",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012400",
            "telephone_number": "714-635-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N HARBOR BLVD STE 154",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012400",
            "telephone_number": "714-635-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRANCISCO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.