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SHIN JOSEPH KIM D.D.S.
NPI 1154645661
Dentist - Oral and Maxillofacial Surgery in Camp Pendleton, CA

Active since March 26, 2010
13128 14TH STREET, CAMP PENDLETON, CA 92058(760) 763-1126 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2022, Nov 5, 2020, Mar 30, 2016 (3 updates tracked since 2016).

About Shin Joseph Kim D.d.s. NPPES

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

SHIN JOSEPH KIM D.D.S. (NPI 1154645661) is an individual oral and maxillofacial surgery provider in Camp Pendleton, California, licensed in Florida (DN28761) and active in the NPI registry since March 2010. He maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1154645661
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSHIN JOSEPH KIMCredential: D.D.S.
Location Address13128 14TH STREETCamp Pendleton, CA 92058
Mailing Address1234 Bellingham DrOceanside, CA 92057-2723 · (818) 523-7253
Phone(760) 763-1126
Sole ProprietorNo
Enumeration DateMarch 26, 2010
Last NPPES UpdateJanuary 19, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1154645661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · DN28761✔ Licensed in CA · DDS107230
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.
Also ListedDentistTaxonomy 122300000X · License 7764010-9921-2014040 (UT)
13128 14TH STREET, Camp Pendleton, CA 92058
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Secondary Practice Location 1

Location 14441 Hoffner AveOrlando, FL 32812-2331 · Phone (407) 218-4744

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES

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

CYNTHIA KNODE RDA
Dental Assistant
13128 14TH STREET
OCEANSIDE, CA 92058
San Diego County (760) 725-5870

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 Shin Kim's NPI number?

The NPI number for Shin Kim is 1154645661. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Shin Kim located?

Shin Kim practices at 13128 14th Street, Camp Pendleton, CA 92058. The listed phone number is (760) 763-1126.

What is Shin 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 Shin Kim accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 20 other insurers list Shin 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 Shin Kim was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.