Bryan Kim, D.D.S.

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

DDS64243 Issued in CA

Practice address

26440 La Alameda Ste 320
Mission Viejo, CA 92691-6304

Phone

(949) 445-1234

Fax

(949) 445-1337

NPI assigned

Feb 9, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Univ of Calif, Los Angeles School of Dentistry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bryan.kim.1@19520.direct.athenahealth.com

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.

• Bryan Kim DDS Inc

  • Dental Clinic/Center
  • Mission Viejo, CA
  • NPI 1689142648
  Medicare reassignment Authorized official
• Bradley a. Eli Dental Corporation

  • Orofacial Pain Dentistry
  • Vista, CA
  • NPI 1962533919
  Medicare reassignment
• Sleep Treatment Partners

  • Specialist
  • Rancho Mirage, CA
  • NPI 1295357234
  NPD
• Steven DBD Inc

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1114564705
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1962893255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA STE 320",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916304",
            "telephone_number": "949-445-1234",
            "fax_number": "949-445-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 LA ALAMEDA STE 320",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916304",
            "telephone_number": "949-445-1234",
            "fax_number": "949-445-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "DDS64243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Christine Kiehlmeir, P.A-C
• Melanie Therese Kijel
• Jill Kilzer, RDMS, RVT
• Helen Kim-Whitehouse, LCSW
• Bonnie Jeone Kim, MD
• Daniel Kim, MD
• Daniel B. Kim, M.D.
• Daniel Youngjoo Kim
• Duke D Kim, MD
• Esther Kim

• Orofacial Pain Dentistry in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Orofacial Pain Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.