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DR. MATTHEW KIM DDS
NPI 1184399529
Dentist - General Practice in Lodi, CA

Active since August 09, 2021
1101 W TOKAY ST STE 2, LODI, CA 95240(209) 334-0760 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Aug 18, 2022, Aug 9, 2021 (3 updates tracked since 2021).

About Dr. Matthew Kim Dds NPPES

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

DR. MATTHEW KIM DDS (NPI 1184399529) is an individual general practice provider in Lodi, California, licensed in California (106312) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1184399529
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MATTHEW KIMCredential: DDS
Location Address1101 W TOKAY ST STE 2Lodi, CA 95240-3842
Mailing Address1101 W Tokay St Ste 2Lodi, CA 95240-3842 · (209) 334-0760
Phone(209) 334-0760
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1184399529 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 · 106312
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.
1101 W TOKAY ST STE 2, Lodi, CA 95240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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.

MATTHEW KIM DDS INC
Clinic/Center (Dental)
1101 W TOKAY ST STE 2
LODI, CA 95240
San Joaquin County (209) 334-0760

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 Matthew Kim's NPI number?

The NPI number for Matthew Kim is 1184399529. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Matthew Kim located?

Matthew Kim practices at 1101 W Tokay St Ste 2, Lodi, CA 95240. The listed phone number is (209) 334-0760.

What is Matthew Kim's specialty?

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

What insurance does Matthew Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Matthew 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 Matthew Kim was last updated on June 12, 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.