Active NPI
James Jinsoo Kim, D.D.S.
- Dentist
- Buellton, CA
National Provider Identifier
1396851630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 44910
- Practice address
- 240 E. Hwy 246
Suite 108
Buellton, CA 93427 - Phone
- (805) 688-8400
- Fax
- (805) 688-0575
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 44910 | CA | Primary |
Addresses
Primary practice location
240 E. Hwy 246
Suite 108
Buellton, CA 93427
Mailing address
240 E Highway 246
Suite 108
Buellton, CA 93427-9645
Phone (805) 688-8400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44910 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396851630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 E HIGHWAY 246",
"address_2": "SUITE 108",
"city": "BUELLTON",
"state": "CA",
"postal_code": "934279645",
"telephone_number": "805-688-8400",
"fax_number": "805-688-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 E. HWY 246",
"address_2": "SUITE 108",
"city": "BUELLTON",
"state": "CA",
"postal_code": "93427",
"telephone_number": "805-688-8400",
"fax_number": "805-688-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAMES",
"middle_name": "JINSOO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "44910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buellton, CA
- Chelsea Marie Happ, CCC-SLP
- Adam Sanford Haws, DDS
- Myra T Howard, R.N-C,F.N.P.
- Alexander Jasper Huynh
- Harin Kaur Khalsa, MSW, ASW, PPSC, CCHT
- Jennifer Lee Kissinger, MD
- Courtney Koprowicz, CMT
- Longevity Care Providers Inc
- Longs Drug Stores California LLC (CVS Pharmacy #09970)
- Madalyn Michelle Mainhardt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.