DR. JAKE KIM DDS
NPI 1053981407
Dentist - General Practice in Lake Dallas, TX

Q: What is Jake Kim's NPI number?

The NPI number for Jake Kim is 1053981407. It was assigned to this individual provider in the NPPES registry on June 28, 2021. The provider is also known as Dr. Jake Kim Dds.

Q: What is Jake Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jake Kim was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 June 28, 2021

507 JEFFERSON LN, LAKE DALLAS, TX 75065(703) 477-4659 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 24, 2024, Jun 10, 2022, Jun 28, 2021 (3 updates tracked since 2021).

On this page

About Dr. Jake Kim Dds NPPES

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

DR. JAKE KIM DDS (NPI 1053981407) is an individual general practice provider in Lake Dallas, Texas, licensed in Texas (39478) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1053981407

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAKE KIMCredential: DDS

Location Address507 JEFFERSON LNLake Dallas, TX 75065-3489

Mailing Address507 Jefferson LnLake Dallas, TX 75065-3489 · (703) 477-4659

Phone(703) 477-4659

Sole ProprietorNo

Enumeration DateJune 28, 2021

Last NPPES UpdateNovember 24, 20243 updates tracked since enumeration

NPPES CertifiedNovember 24, 2024

✔ NPI 1053981407 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 · 39478

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.

507 JEFFERSON LN, Lake Dallas, TX 75065

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Other Names 1

Professional Name (2)Dr. Jake Kim Dds

Accepted Insurance

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

Other Providers at the Same Location NPPES

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

1010 EMERGENCY DENTAL PLLC

Clinic/Center (Dental)

507 JEFFERSON LN
LAKE DALLAS, TX 75065

Denton County (703) 477-4659

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 Jake Kim's NPI number?

The NPI number for Jake Kim is 1053981407. It was assigned to this individual provider in the NPPES registry on June 28, 2021. The provider is also known as Dr. Jake Kim Dds.

Where is Jake Kim located?

Jake Kim practices at 507 Jefferson Ln, Lake Dallas, TX 75065. The listed phone number is (703) 477-4659.

What is Jake Kim's specialty?

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

What insurance does Jake Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Jake 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 Jake Kim was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.