John Kim

General Practice Dentistry · Berkeley, CA

Individual Active NPI

NPI number 1831556117

Practice location

1080 Jones St Apt 411
Berkeley, CA 94710-1559
Phone
(626) 644-3614

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NPI record

NPI
1831556117
Entity type
Individual (Type 1)
Enumeration date
January 18, 2016
Last updated
July 6, 2022
Certified
June 10, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 65365 CA
Dentist 122300000X DE60678182 WA

Other practice locations (1)

  • 10011 Bridgeport Way SW, Ste 700, Lakewood, WA 98499-2332 · (253) 215-1101

About John Kim

John Kim is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1080 Jones St Apt 411, Berkeley, CA 94710-1559. The NPI number 1831556117 was assigned on January 18, 2016 and the record was last updated on July 6, 2022.

John Kim lists 2 licenses in the registry: #65365 (CA) for General Practice Dentistry; #DE60678182 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Kim?

The NPI number is 1831556117.

What is the phone number of John Kim?

The phone number listed for the practice location is (626) 644-3614.

Where is John Kim located?

1080 Jones St Apt 411, Berkeley, CA 94710-1559.

What is the taxonomy code for John Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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