Da Bin Kim

Primary specialty

DentistTaxonomy code 122300000X

License

DDS108016 Issued in CA

Practice address

164 Kinman Ave
Goleta, CA 93117-3481

Phone

(805) 884-1998

NPI assigned

Mar 16, 2022

Last updated

Jul 14, 2023By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Barbara Neighborhood Clinics

  dba Eastside Family Dental Clinic

  • Dental Clinic/Center
  • Santa Barbara, CA
  • NPI 1972636835
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1750039913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S ALEXANDRIA AVE APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202837",
            "telephone_number": "412-496-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 KINMAN AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931173481",
            "telephone_number": "805-884-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 N Milpas St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931032331",
            "country_code": "US",
            "telephone_number": "805-884-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DA BIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS108016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Karayan
• Lakhvir Kaur, EDS, PPS
• Drew G. Kelts, M.D.
• Omar Khan
• Calvin S. Kim, D.M.D.
• Jesse Gawsung Kim, DDS
• Soo Yeon Kim
• Sheyenne Mikaela Kirchoff
• Jennifer Ilene Klee-Bienstock, PT
• Anselm Lucien Knecht

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.