Andrew-Sunjun Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62018 Issued in CA

Practice address

9440 Santa Monica Blvd Ste 555
Beverly Hills, CA 90210-4629

Phone

(000) 000-0000

Fax

(000) 000-0000

NPI assigned

Sep 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andrew-Sunjun Kim, D.D.S, Inc.

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1639504749
  NPD Authorized official
• Kash Ahmed DMD Inc.

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1700572120
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1760765119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 SANTA MONICA BLVD STE 555",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104629",
            "telephone_number": "310-321-0005",
            "fax_number": "310-409-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 SANTA MONICA BLVD STE 555",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104629",
            "telephone_number": "000-000-0000",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANDREW-SUNJUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27342",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Kay Kidd, PA C
• Dana Kiesel, PHD
• Kiki L. Hurt MD Anesthesia and Intensivist PC
• Kelly Lynne Killeen, M.D.
• Alexander Kim, MD
• Ashley Kim
• Chae Kim
• Changkyu Kim
• Chloe Kim, PSYD
• Dae Kwon Kim, L.AC.

• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.