T.Kim Dental PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

T.KIM DENTAL PC

Practice address

2000 Appian Way Ste 303
Pinole, CA 94564-2525

Phone

(510) 964-0168

Fax

(510) 964-0908

NPI assigned

Apr 23, 2026

Last updated

Apr 23, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teri L Kim, DDSNPI 1386721736

Title

Dentist/Owner

Phone

(916) 792-9267

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teri Ly Kim, DDS

  • Pediatric Dentistry
  • Oakland, CA
  • NPI 1386721736
  NPD Authorized official

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1609711605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 APPIAN WAY STE 303",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642525",
            "telephone_number": "510-964-0168",
            "fax_number": "510-964-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 APPIAN WAY STE 303",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642525",
            "telephone_number": "510-964-0168",
            "fax_number": "510-964-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.KIM DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "916-792-9267",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandra Suazo
• Nicole Laura Suleiman-Zamora, MD
• Cristina Sutinen-Gonzales
• Gordon Bates Swanstrom, D.D.S.
• Larry Alden Sylva, D.D.S.,M.SC.D
• Derlyn Tumakay Tablada, FNP
• Allan S Tam, DDS
• David Walter Tam, O.D.
• Leah Taylor
• Evelyn Terrones

• Pediatric Dentistry in Pinole, CA
• Providers in Pinole, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.