Active NPI
Kimberly H Kim, DDS PHD
- Dentist
- Sunnyvale, CA
National Provider Identifier
1679738975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57214
- Practice address
- 970 West El Camino Real
Suite #1
Sunnyvale, CA 94087 - Phone
- (650) 282-5555
- Fax
- (650) 282-5051
- NPI assigned
- Jul 25, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57214 | CA | Primary |
Addresses
Primary practice location
970 West El Camino Real
Suite #1
Sunnyvale, CA 94087
Mailing address
970 West El Camino Real
Suite #1
Sunnyvale, CA 94087
Phone (650) 282-5555
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ismile Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Mountain View, CA
- NPI 1215209572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1679738975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 WEST EL CAMINO REAL",
"address_2": "SUITE #1",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "650-282-5555",
"fax_number": "650-282-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 WEST EL CAMINO REAL",
"address_2": "SUITE #1",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "650-282-5555",
"fax_number": "650-282-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KIMBERLY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-25",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.