Active NPI
Dan Yul Kim, D.D.S.
- Dentist
- Santa Barbara, CA
National Provider Identifier
1669474334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51090
- Practice address
- 605 State St
Santa Barbara, CA 93101-3301 - Phone
- (805) 963-4296
- Fax
- (805) 962-8376
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51090 | CA | Primary |
Addresses
Primary practice location
605 State St
Santa Barbara, CA 93101-3301
Mailing address
605 State St
Santa Barbara, CA 93101-3301
Phone (805) 963-4296
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715000964 | CA | Order and Referring Only - Dentist | 0941513212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669474334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013301",
"telephone_number": "805-963-4296",
"fax_number": "805-962-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013301",
"telephone_number": "805-963-4296",
"fax_number": "805-962-8376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DAN",
"middle_name": "YUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.