DR. DON HAN KIM DDS, MD
NPI 1093937179
Dentist - Oral and Maxillofacial Surgery in Roseville, CA

Q: What is Don Kim's NPI number?

The NPI number for Don Kim is 1093937179. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Don Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Don Kim was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 02, 2007

1441 SECRET RAVINE PKWY STE 160, ROSEVILLE, CA 95661(916) 787-1515(916) 787-1516 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Don Han Kim Dds, Md NPPES

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

DR. DON HAN KIM DDS, MD (NPI 1093937179) is an individual oral and maxillofacial surgery provider in Roseville, California, licensed in California (54647) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093937179

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. DON HAN KIMCredential: DDS, MD

Location Address1441 SECRET RAVINE PKWY STE 160Roseville, CA 95661-6044

Mailing Address1441 Secret Ravine Pkwy Ste 160Roseville, CA 95661-6044 · (916) 797-1515 · Fax (916) 787-1516

Phone(916) 787-1515

Fax(916) 787-1516

Sole ProprietorNo

Enumeration DateMay 2, 2007

Last NPPES UpdateNovember 18, 2025

NPPES CertifiedNovember 18, 2025

✔ NPI 1093937179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 54647

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1441 SECRET RAVINE PKWY STE 160, Roseville, CA 95661

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Don Kim's NPI number?

The NPI number for Don Kim is 1093937179. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Don Kim located?

Don Kim practices at 1441 Secret Ravine Pkwy Ste 160, Roseville, CA 95661. The listed phone number is (916) 787-1515.

What is Don Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Don Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Don 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 Don Kim was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.