GRACE KIM DDS
NPI 1205565629
Dentist - Pediatric Dentistry in Cypress, CA

Q: What is Grace Kim's NPI number?

The NPI number for Grace Kim is 1205565629. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Q: What is Grace Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 09, 2022

5155 KATELLA AVE APT 309, CYPRESS, CA 90720(860) 405-5915 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Jun 9, 2022 (2 updates tracked since 2022).

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About Grace Kim Dds NPPES

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

GRACE KIM DDS (NPI 1205565629) is an individual pediatric dentistry provider in Cypress, California, licensed in California (DDS109657) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1205565629

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameGRACE KIMCredential: DDS

Location Address5155 KATELLA AVE APT 309Cypress, CA 90720-2957

Mailing Address5155 Katella Ave Apt 309Cypress, CA 90720-2957 · (860) 405-5915

Phone(860) 405-5915

Sole ProprietorYes

Enumeration DateJune 9, 2022

Last NPPES UpdateJuly 31, 20252 updates tracked since enumeration

NPPES CertifiedJuly 31, 2025

✔ NPI 1205565629 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 · DDS109657

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

5155 KATELLA AVE APT 309, Cypress, CA 90720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, UnitedHealthcare.Insurance ›

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1205565629. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Where is Grace Kim located?

Grace Kim practices at 5155 Katella Ave Apt 309, Cypress, CA 90720. The listed phone number is (860) 405-5915.

What is Grace Kim's specialty?

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

What insurance does Grace Kim accept?

Health plans from BEST Life and UnitedHealthcare list Grace 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 Grace Kim was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.