Timothy Y Kim DMD a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIMOTHY Y KIM DMD A PROFESSIONAL CORPORATION

Practice address

5117 Lone Tree Way
Antioch, CA 94531-8484

Phone

(310) 365-8643

NPI assigned

Nov 3, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Kim, DMDNPI 1609482587

Title

Owner

Phone

(310) 365-8643

Specialties & licenses 2

Addresses

Other names 1

• Dream Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Y Kim, DMD

  • Dentist
  • Antioch, CA
  • NPI 1609482587
  NPD Authorized official

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1831068261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5117 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "310-365-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318484",
            "telephone_number": "310-365-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY Y KIM DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-365-8643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dream Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thrifty Payless Inc
• Thrifty Payless, Inc.
• Khin Myat Thu, M.D.,
• Noa Tidhar, BA
• Imma Tijani
• Vivien L. Tin, MD
• Aida Tiron, MD
• Neeraj Tiwari, MD
• Ruby Tobor-Vasquez, RAC
• Clement Toh

• Dental Clinic/Center in Antioch, CA
• Providers in Antioch, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.