DR. CHUNG KIM D.D.S.
NPI 1124170717
Dentist in Perris, CA

Active since January 17, 2007
180 E 4TH ST STE A, PERRIS, CA 92570(951) 657-3102(951) 657-7783 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chung Kim D.d.s. NPPES

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

DR. CHUNG KIM D.D.S. (NPI 1124170717) is an individual dentist in Perris, California, licensed in California (23935) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124170717
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CHUNG KIMCredential: D.D.S.
Location Address180 E 4TH ST STE APerris, CA 92570-2125
Mailing Address180 E 4th St Ste APerris, CA 92570-2125 · (951) 657-3102 · Fax (951) 657-7783
Fax(951) 657-7783
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124170717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 23935
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.
180 E 4TH ST STE A, Perris, CA 92570

Accepted 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.

Clinic/Center (Dental)
180 E 4TH ST STE A
PERRIS, CA 92570
Dentist (General Practice)
180 E 4TH ST STE A
PERRIS, CA 92570

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 Chung Kim's NPI number?

The NPI number for Chung Kim is 1124170717. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Chung Kim located?

Chung Kim practices at 180 E 4th St Ste A, Perris, CA 92570. The listed phone number is (951) 657-3102.

What is Chung Kim's specialty?

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

What insurance does Chung Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Chung 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 Chung 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.