Sung Ho Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55848 Issued in CA

Practice address

663 N Westwood St
B
Porterville, CA 93257-6930

Phone

(559) 781-3641

Fax

(559) 781-3690

NPI assigned

Jul 18, 2007

Last updated

Jan 20, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sungho Kim DDS Inc

  • General Practice Dentistry
  • Porterville, CA
  • NPI 1730412644
  NPD (past) Authorized official

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1972703072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 W STEWART AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913267",
            "telephone_number": "559-799-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 N WESTWOOD ST",
            "address_2": "B",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932576930",
            "telephone_number": "559-781-3641",
            "fax_number": "559-781-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG HO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obaid Khan, DO
• Albert Howard Khoo, MD
• Byungjoon Kim
• Enoth Dougwon Kim, DMD
• Owen C Kim, M.D.
• Yeun Soo Kim, PHARMD, RPH
• Kings View (Porterville Navigation Center.)
• Kings View
• Kings View (Porterville Navigation Center)
• Kings View

• General Practice Dentistry in Porterville, CA
• Providers in Porterville, 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 Jan 20, 2022; 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.