BUM KIM DDS
NPI 1063546893
Dentist - General Practice in Mendota, CA

Q: What is Bum Kim's NPI number?

The NPI number for Bum Kim is 1063546893. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Bum 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 Bum Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 15, 2007

121 BARBOZA ST, MENDOTA, CA 93640(559) 655-5000(559) 655-6817 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bum Kim Dds NPPES

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

BUM KIM DDS (NPI 1063546893) is an individual general practice provider in Mendota, California, licensed in California (50762) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063546893

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBUM KIMCredential: DDS

Location Address121 BARBOZA STMendota, CA 93640-1901

Mailing AddressPo Box 790, 650 Zediker Ave.Parlier, CA 93648-0790 · (559) 646-6618 · Fax (559) 646-6614

Phone(559) 655-5000

Fax(559) 655-6817

Sole ProprietorNo

Enumeration DateMarch 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063546893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 50762

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.

121 BARBOZA ST, Mendota, CA 93640

Open in Google Maps ↗

Other Identifiers 1

Other50762CA · California Dental Lic#

Other Providers at the Same Location NPPES 20

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

UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY

Clinic/Center (Federally Qualified Health Center (FQHC))