Min Kyung Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS107826 Issued in CA

Practice address

1686 W Katella Ave
Anaheim, CA 92802-3015

Phone

(657) 655-4321

NPI assigned

Sep 19, 2022

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kim & Lee a Dental Corporation

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1588288591
  NPD
• Kim & Lee DDS Inc.

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1558038513
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1447973110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 MINORCA WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 W KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023015",
            "telephone_number": "657-655-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9009 Knott Ave",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906204169",
            "country_code": "US",
            "telephone_number": "714-252-5677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 W McFadden Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927041392",
            "country_code": "US",
            "telephone_number": "657-231-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN KYUNG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Eun Kim, PHARM.D.
• Juyoun Kim, L.AC
• Kasey Kim, RPH
• Michael M. Kim, M.D.
• Michael Sungmin Kim, M.D.
• Mina Kim
• Minsu Kim
• Minwoo Kim
• Miwon Kim, PHARM.D.
• Monica Kim

• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.