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DR. JENNIFER PARK KIM DDS
NPI 1013402692
Dentist - General Practice in San Antonio, TX

Active since June 26, 2018
221 3RD ST WEST, BLDG 1040, SAN ANTONIO, TX 78148(210) 652-1846 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2022, Aug 31, 2020, Jun 26, 2018 (3 updates tracked since 2018).

About Dr. Jennifer Park Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER PARK KIM DDS (NPI 1013402692) is an individual general practice provider in San Antonio, Texas, licensed in Texas (34083) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1013402692
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JENNIFER PARK KIMCredential: DDS
Location Address221 3RD ST WEST, BLDG 1040San Antonio, TX 78148
Mailing Address9127 Hogarten ParkConverse, TX 78109-2804 · (571) 247-3137
Phone(210) 652-1846
Sole ProprietorNo
Enumeration DateJune 26, 2018
Last NPPES UpdateMay 26, 20223 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1013402692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 34083
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
221 3RD ST WEST, BLDG 1040, San Antonio, TX 78148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1013402692. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Jennifer Kim located?

Jennifer Kim practices at 221 3rd St West, Bldg 1040, San Antonio, TX 78148. The listed phone number is (210) 652-1846.

What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jennifer Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Jennifer Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Kim was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.