Individual provider Active NPI

Jimmy Hyon Ku, D.D.S.

  • General Practice Dentistry
  • Oceanside, CA
National Provider Identifier
1629357843
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60962 Issued in CA
Practice address
10TH Street, Building 22190
Oceanside, CA 92058
Phone
(760) 725-3300
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60962 CA Primary
Dentist 122300000X 60962 CA

Addresses

Primary practice location

10TH Street, Building 22190
Oceanside, CA 92058

Mailing address

9971 Avenida Magnifica
San Diego, CA 92131-1423
Phone (808) 445-8797

Other practice location 1

200 Mercy Cir
Oceanside, CA 92055
Phone (808) 445-8797

Other practice location 2

2050 Barb St Ste A
Silverdale, WA 98315-2050
Phone (360) 315-4287

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

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1629357843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9971 AVENIDA MAGNIFICA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311423",
            "telephone_number": "808-445-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10TH STREET, BUILDING 22190",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92058",
            "telephone_number": "760-725-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mercy Cir",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92055",
            "country_code": "US",
            "telephone_number": "808-445-8797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 Barb St Ste A",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983152050",
            "country_code": "US",
            "telephone_number": "360-315-4287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KU",
        "first_name": "JIMMY",
        "middle_name": "HYON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60962",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.