Active NPI
Sooyoung Kim, DMD
- Endodontics
- Mountain View, CA
National Provider Identifier
1578838454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 59907
- Practice address
- 505 South Dr Ste 10
Mountain View, CA 94040-4210 - Phone
- (650) 964-1300
- NPI assigned
- Mar 12, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59907 | CA | |
| Endodontics | 1223E0200X | 59907 | CA | Primary |
Addresses
Primary practice location
505 South Dr Ste 10
Mountain View, CA 94040-4210
Mailing address
PO Box 70403
Sunnyvale, CA 94086-0403
Phone (650) 409-6036
Other practice location 1
1895 Mowry Ave Ste 102
Fremont, CA 94538-1766
Phone (510) 795-1661
Other practice location 2
114 5th Ave
Redwood City, CA 94063-3604
Phone (650) 839-1447
Other practice location 3
5353 Almaden Plaza Way
#45
San Jose, CA 95118
Phone (408) 266-4690
Other practice location 4
20445 Prospect Rd Ste 6
San Jose, CA 95129-4663
Phone (408) 878-4173
Other practice location 5
5150 Graves Ave Ste 11D
San Jose, CA 95129-5014
Phone (408) 255-0033
Other practice location 6
1725 Berryessa Rd Ste B
San Jose, CA 95133-1173
Phone (408) 259-2901
Other practice location 7
581 Foster City Blvd
Foster City, CA 94404-1695
Phone (650) 286-9999
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haleh Karimian, D.D.S., Inc. | Past | Accepting new patients | |
| Polly Chan DDS Inc | Dentist | Past | Accepting new patients |
| Yvonne Yiwen Chen DMD Apc | Dentist | Past | Accepting new patients |
| Rong Pan, D.D.S., Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba dba:Almaden Plaza Dental Care
- General Practice Dentistry
- San Jose, CA
- NPI 1871997635
-
- Dentist
- Foster City, CA
- NPI 1508931247
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1609535764
-
- Dentist
- Fremont, CA
- NPI 1528363447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690070400000",
"number": "1578838454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70403",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940860403",
"telephone_number": "650-409-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SOUTH DR STE 10",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404210",
"telephone_number": "650-964-1300"
}
],
"practiceLocations": [
{
"address_1": "1895 Mowry Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945381766",
"country_code": "US",
"telephone_number": "510-795-1661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 5th Ave",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940633604",
"country_code": "US",
"telephone_number": "650-839-1447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5353 Almaden Plaza Way",
"address_2": "#45",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95118",
"country_code": "US",
"telephone_number": "408-266-4690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20445 Prospect Rd Ste 6",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951294663",
"country_code": "US",
"telephone_number": "408-878-4173",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5150 Graves Ave Ste 11D",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951295014",
"country_code": "US",
"telephone_number": "408-255-0033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 Berryessa Rd Ste B",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951331173",
"country_code": "US",
"telephone_number": "408-259-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "581 Foster City Blvd",
"address_purpose": "LOCATION",
"city": "Foster City",
"state": "CA",
"postal_code": "944041695",
"country_code": "US",
"telephone_number": "650-286-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SOOYOUNG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2023-07-23",
"certification_date": "2023-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59907",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "59907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.