Active NPI
James H Kim, D.D.S.
- Dentist
- Redwood City, CA
National Provider Identifier
1861715898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63246
- Practice address
- 29 Birch St
Suite 4
Redwood City, CA 94062-1429 - Phone
- (650) 365-3933
- NPI assigned
- Mar 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1855326 | MA | |
| Dentist | 122300000X | 63246 | CA | Primary |
Addresses
Primary practice location
29 Birch St
Suite 4
Redwood City, CA 94062-1429
Mailing address
29 Birch St
Suite 4
Redwood City, CA 94062-1429
Phone (650) 365-3933
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 |
|---|---|---|---|
| DN1855326 | MA | MD | Dentist |
| 63246 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1861715898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BIRCH ST",
"address_2": "SUITE 4",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621429",
"telephone_number": "650-365-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BIRCH ST",
"address_2": "SUITE 4",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621429",
"telephone_number": "650-365-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JAMES",
"middle_name": "H",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855326",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.