1. Home
  2. Directory
  3. California
  4. Tustin
  5. Dentist
  6. NPI Profile

BRIAN D KIM DDS INC
NPI 1215184072
Dentist - General Practice in Tustin, CA

Active since August 25, 2008
12721 NEWPORT AVE STE 1, TUSTIN, CA 92780(714) 730-8070(714) 730-8112 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian D Kim Dds Inc NPPES

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

BRIAN D KIM DDS INC (NPI 1215184072) is a healthcare organization registered as a general practice in Tustin, California and active in the NPI registry since August 2008. The organization maintains a secondary practice location in Laguna Hills and lists Brian Kim, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1215184072
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRIAN D KIM DDS INC
Location Address12721 NEWPORT AVE STE 1Tustin, CA 92780-8031
Mailing Address12721 Newport Ave Ste 1Tustin, CA 92780-8031 · (714) 730-8070 · Fax (714) 730-8112
Phone(714) 730-8070
Fax(714) 730-8112
Organization SubpartNo
Authorized OfficialBrian KimDentist/owner · (714) 730-8070
Enumeration DateAugust 25, 2008
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1215184072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentistTaxonomy 122300000X · License 50765 (CA)
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
12721 NEWPORT AVE STE 1, Tustin, CA 92780
Open in Google Maps ↗

Secondary Practice Location 1

Location 125211 Paseo De Alicia Ste 200Laguna Hills, CA 92653-4614 · Phone (949) 680-4707 · Fax (949) 680-4707

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian D Kim Dds Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian D Kim DDS Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Kim, DDS
Oral Surgery
NPI 1598989063
12721 NEWPORT AVE STE 1
Tustin, CA 92780
(714) 730-8070
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brian D Kim Dds Inc's NPI number?

The NPI number for Brian D Kim Dds Inc is 1215184072. It was assigned to this organization in the NPPES registry on August 25, 2008.

Where is Brian D Kim Dds Inc located?

Brian D Kim Dds Inc is located at 12721 Newport Ave Ste 1, Tustin, CA 92780. The listed phone number is (714) 730-8070.

What is Brian D Kim Dds Inc's specialty?

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

Is Brian D Kim Dds Inc enrolled in Medicare?

Yes. Brian D Kim Dds Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian D Kim Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Brian D Kim Dds Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brian D Kim Dds Inc accept?

Health plans from UnitedHealthcare list Brian D Kim Dds Inc 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 Brian D Kim Dds Inc was last updated on October 8, 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.