JISOO KIM
NPI 1013796309
Dentist in San Jose, CA

Q: What is Jisoo Kim's NPI number?

The NPI number for Jisoo Kim is 1013796309. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Jisoo Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jisoo Kim was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 26, 2023

1628 HOSTETTER RD STE J, SAN JOSE, CA 95131(408) 929-9999 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jisoo Kim NPPES

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

JISOO KIM (NPI 1013796309) is an individual dentist in San Jose, California, licensed in California (109428) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1013796309

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJISOO KIM

Location Address1628 HOSTETTER RD STE JSan Jose, CA 95131-3309

Mailing Address1887 Greenfield Ave Apt 310Los Angeles, CA 90025-4416 · (202) 684-0703

Phone(408) 929-9999

Sole ProprietorYes

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1013796309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 109428

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1628 HOSTETTER RD STE J, San Jose, CA 95131

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON SONG D.D.S.

Dentist (General Practice)

1628 HOSTETTER RD STE J
SAN JOSE, CA 95131

Santa Clara County (408) 929-9999

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 Jisoo Kim's NPI number?

The NPI number for Jisoo Kim is 1013796309. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Jisoo Kim located?

Jisoo Kim practices at 1628 Hostetter Rd Ste J, San Jose, CA 95131. The listed phone number is (408) 929-9999.

What is Jisoo Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jisoo Kim was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.