Timothy Y Kim, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

105401 Issued in CA

Practice address

5117 Lone Tree Way
Antioch, CA 94531-8484

Phone

(310) 365-8643

NPI assigned

Sep 16, 2020

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

State licenses

Practice roles

Locations

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.

• Timothy Y Kim DMD a Professional Corporation

  dba Dream Dental

  • Dental Clinic/Center
  • Antioch, CA
  • NPI 1831068261
  NPD Authorized official
• Brian Kang DMD Inc

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1265385397
  NPD (past)
• Paul H. Kim, DDS, a Professional Corporation

  • General Practice Dentistry
  • Torrance, CA
  • NPI 1700916061
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1609482587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "925-777-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "310-365-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TIMOTHY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamidreza M Khonsari, M.D.
• Sandra Kidd
• Haemin Kim
• Peter Kim
• Suhji Kim, MD
• Young Min Kim, M.D.
• Laura Camille Kimball, PPS
• Haley King
• Janet Frost King
• Lindsley Kinser

• Dentist in Antioch, CA
• Providers in Antioch, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.