Active NPI
Saehee Kim, D.M.D.
- Endodontics
- San Jose, CA
National Provider Identifier
1760613913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 60847
- Practice address
- 1680 Westwood Dr Ste D
San Jose, CA 95125-5105 - Phone
- (212) 874-3929
- NPI assigned
- Aug 6, 2009
- Last updated
- Sep 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 60847 | CA | Primary |
Addresses
Primary practice location
1680 Westwood Dr Ste D
San Jose, CA 95125-5105
Mailing address
1680 Westwood Dr Ste D
San Jose, CA 95125-5105
Phone (425) 263-7447
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60847 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saehee a. Kim DMD, Inc | Endodontics | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1760613913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 WESTWOOD DR STE D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255105",
"telephone_number": "425-263-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 WESTWOOD DR STE D",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255105",
"telephone_number": "212-874-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SAEHEE",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "60847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.