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DR. CHARLES KIM DDS
NPI 1124969167
Dentist - General Practice in Fremont, CA

Active since April 03, 2026
104 BLACK MOUNTAIN CIR, FREMONT, CA 94536(510) 386-7245 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Kim Dds NPPES

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

DR. CHARLES KIM DDS (NPI 1124969167) is an individual general practice provider in Fremont, California, licensed in California (112801) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1124969167
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHARLES KIMCredential: DDS
Location Address104 BLACK MOUNTAIN CIRFremont, CA 94536-6507
Mailing Address104 Black Mountain CirFremont, CA 94536-6507 · (510) 386-7245
Phone(510) 386-7245
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1124969167 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 · 112801
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.
104 BLACK MOUNTAIN CIR, Fremont, CA 94536
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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 Charles Kim's NPI number?

The NPI number for Charles Kim is 1124969167. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Charles Kim located?

Charles Kim practices at 104 Black Mountain Cir, Fremont, CA 94536. The listed phone number is (510) 386-7245.

What is Charles Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Kim was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.