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SPENCER KIM
NPI 1184155400
Dentist - Pediatric Dentistry in Manteca, CA

Active since March 27, 2017
2288 DANIELS ST, MANTECA, CA 95337(209) 456-5610 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Jul 9, 2021, Mar 27, 2017 (3 updates tracked since 2017).

About Spencer Kim NPPES

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

SPENCER KIM (NPI 1184155400) is an individual pediatric dentistry provider in Manteca, California, licensed in California (DDS111451) and active in the NPI registry since March 2017. He maintains a secondary practice location in Kailua.

NPPES Registry Identity

NPI1184155400
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameSPENCER KIM
Location Address2288 DANIELS STManteca, CA 95337-6706
Mailing Address2288 Daniels StManteca, CA 95337-6706 · (808) 384-2707
Phone(209) 456-5610
Sole ProprietorYes
Enumeration DateMarch 27, 2017
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1184155400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · DDS111451
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2288 DANIELS ST, Manteca, CA 95337
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Secondary Practice Location 1

Location 1642 Ulukahiki St Ste 308Kailua, HI 96734-4439 · Phone (808) 261-5354

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

AKSHDEEP KAUR RAKED
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
NAM NGOC DINH
Dentist
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
DR. SEUNG JAE LEE D.M.D
Dentist
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
PUJA SHRESTHA DDS
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
DR. MITCHELL HONG DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
PHILIP XI ZHANG DDS
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
PETER NGUYEN PHAM DDS
Dentist
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610
DR. SEUNG HO CHUNG DDS
Dentist (General Practice)
2288 DANIELS ST
MANTECA, CA 95337
San Joaquin County (209) 456-5610

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 Spencer Kim's NPI number?

The NPI number for Spencer Kim is 1184155400. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Spencer Kim located?

Spencer Kim practices at 2288 Daniels St, Manteca, CA 95337. The listed phone number is (209) 456-5610.

What is Spencer Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Spencer Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Spencer 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 Spencer Kim was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.