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NPI · 1114348265 · NPPES-sourced

Dr. Justin Kim D.D.S.

ActiveGeneral Practice Dentistry
NPI Number
1114348265
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(408) 710-8121
License CA · 63093
Last Updated
About 12 years ago (Dec 2013)
Enumerated 2013-12-16
Primary practice addressCA · 92354-6556
11140 Mesquite AveLoma Linda, CA 92354-6556
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About this NPIWhat this record shows.

NPI 1114348265 is registered to Dr. Justin Kim D.D.S., a General Practice Dentistry practising at 11140 Mesquite Ave in Loma Linda, California. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Justin Kim D.D.S. has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2013-12-16
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Justin Kim D.D.S. accepts. To confirm in-network status with your specific health plan, contact Dr. Justin Kim D.D.S. directly at (408) 710-8121.

Frequently asked

Yes. NPI 1114348265 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (408) 710-8121.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Justin Kim D.D.S. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated2013-12
Enumerated2013-12-16
StatusActive
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