Chae Jin Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106984 Issued in CA

Practice address

3760 W McFadden Ave Ste D
Santa Ana, CA 92704-1392

Phone

(657) 231-6106

NPI assigned

Sep 21, 2021

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

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1467123331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16570 FERN HAVEN RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453708",
            "telephone_number": "949-677-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 W MCFADDEN AVE STE D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041392",
            "telephone_number": "657-231-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHAE",
        "middle_name": "JIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kim, PA-C
• Anna Ula Kim, R.N., PHN
• Austin Kim, BEHAVIOR TECHNICAN
• Bouree Kim
• Chae Hyun Kim, DDS
• Christina Kim, FNP-C
• Chung Kim, D.D.S.
• Dain Kim, BEHAVIOR TECHNICIAN
• Daniel Dong Gun Kim
• David S Kim, BT

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Oct 7, 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.