Active NPI
Stella Kim, D.D.S.
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1538597729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62463
- Practice address
- 800 Santiago St Ste B
San Francisco, CA 94116-1819 - Phone
- (415) 566-3305
- Fax
- (415) 566-3045
- NPI assigned
- Oct 24, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62463 | CA | Primary |
Addresses
Primary practice location
800 Santiago St Ste B
San Francisco, CA 94116-1819
Mailing address
800 Santiago St Ste B
San Francisco, CA 94116-1819
Phone (415) 566-3305
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 |
|---|---|---|---|
| 62463 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stella Kim DDS, Inc. | General Practice | Current | Accepting new patients |
Locations
800 Santiago St
#B
San Francisco, CA 94116
Phone (415) 566-3305
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1538597729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SANTIAGO ST STE B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161819",
"telephone_number": "415-566-3305",
"fax_number": "415-566-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SANTIAGO ST STE B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161819",
"telephone_number": "415-566-3305",
"fax_number": "415-566-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "STELLA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-24",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.