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AUDREY KIM DDS
NPI 1053667832
Dentist in Hollister, CA

Active since July 30, 2012
930 SUNNYSLOPE RD STE B3, HOLLISTER, CA 95023(831) 647-4627(831) 637-7017 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Audrey Kim Dds NPPES

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

AUDREY KIM DDS (NPI 1053667832) is an individual dentist in Hollister, California, licensed in California (61519) and active in the NPI registry since July 2012. She maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1053667832
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAUDREY KIMCredential: DDS
Location Address930 SUNNYSLOPE RD STE B3Hollister, CA 95023-5616
Mailing Address17775 Calle GranadaMorgan Hill, CA 95037-2992 · (716) 374-3273
Phone(831) 647-4627
Fax(831) 637-7017
Sole ProprietorNo
Enumeration DateJuly 30, 2012
Last NPPES UpdateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
✔ NPI 1053667832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 61519
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.
930 SUNNYSLOPE RD STE B3, Hollister, CA 95023
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Secondary Practice Location 1

Location 1426 Loumena LnSan Jose, CA 95111-2243 · Phone (716) 374-3273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. GREGORY PAUL NEWTON DDS
Dentist
930 SUNNYSLOPE RD STE B3
HOLLISTER, CA 95023
San Benito County (831) 637-4627
KIM DENTAL CORPORATION
Clinic/Center (Dental)
930 SUNNYSLOPE RD STE B3
HOLLISTER, CA 95023
San Benito County (831) 637-4627

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 Audrey Kim's NPI number?

The NPI number for Audrey Kim is 1053667832. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Audrey Kim located?

Audrey Kim practices at 930 Sunnyslope Rd Ste B3, Hollister, CA 95023. The listed phone number is (831) 647-4627.

What is Audrey Kim's specialty?

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

What insurance does Audrey Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Audrey 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 Audrey Kim was last updated on September 29, 2021. 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.