1. Home
  2. Directory
  3. California
  4. Duarte
  5. Dentist
  6. NPI Profile

DR. CHANGSOOK KIM DDS
NPI 1114034139
Dentist in Duarte, CA

Active since August 24, 2006
1755 E HUNTINGTON DR, #101, DUARTE, CA 91010(626) 357-9909(626) 358-7245 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Changsook Kim Dds NPPES

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

DR. CHANGSOOK KIM DDS (NPI 1114034139) is an individual dentist in Duarte, California, licensed in California (39166) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114034139
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. CHANGSOOK KIMCredential: DDS
Location Address1755 E HUNTINGTON DR, #101Duarte, CA 91010
Mailing Address1755 E Huntington Dr, #101Duarte, CA 91010 · (626) 357-9909 · Fax (626) 358-7245
Phone(626) 357-9909
Fax(626) 358-7245
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114034139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 39166
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.
1755 E HUNTINGTON DR, Duarte, CA 91010
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

CHANGSOOK KIM DDS A DENTAL CORP
Dentist (General Practice)
1755 E HUNTINGTON DR, #101
DUARTE, CA 91010
Los Angeles County (626) 357-9909

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 Changsook Kim's NPI number?

The NPI number for Changsook Kim is 1114034139. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Changsook Kim located?

Changsook Kim practices at 1755 E Huntington Dr #101, Duarte, CA 91010. The listed phone number is (626) 357-9909.

What is Changsook 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 Changsook 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.