Byron Sejin Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62497 Issued in CA

Practice address

3321 E Penzance LN
Unit D
Orange, CA 92869-2844

Phone

(714) 263-5561

NPI assigned

Jun 25, 2013

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Byron Kim DDS PC

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1396606448
  NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1568802411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 E PENZANCE LN",
            "address_2": "UNIT D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692844",
            "telephone_number": "714-263-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 E PENZANCE LN",
            "address_2": "UNIT D",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692844",
            "telephone_number": "714-263-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BYRON",
        "middle_name": "SEJIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim James Charney M.D., Inc.
• Andrew H Kim, DDS
• Aram Kim
• Ashley Lee Kim, NP
• Brandon Hannuri Kim
• Carole Kim
• Chinsuk Kim, MSN/ N.P.
• Chloe Kim
• Chloe Priscilla Kim
• Chloe Yong Kim

• General Practice Dentistry in Orange, CA
• Providers in Orange, 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 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.