Henry H Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50942 Issued in CA

Practice address

4242 Camino del Rio N Ste 24
San Diego, CA 92108-2613

Phone

(619) 640-3400

Fax

(619) 283-2584

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1457427288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 CAMINO DEL RIO N STE 24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082613",
            "telephone_number": "805-617-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 CAMINO DEL RIO N STE 24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082613",
            "telephone_number": "619-640-3400",
            "fax_number": "619-283-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HENRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanh Kim, APRN, FNP-C
• Hankaung Kim
• Hankyul Kim, PHARMD
• Hee Kim, FNP
• Heewon Kim
• Hyun Jo Michael Kim, DO
• Hyun Sil Kim, MD
• Hyunsoo Kim, MD
• Ildong Kim, M.D.
• Jaehyeon Kim

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.