Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TONY JAEWON KIM DMD
NPI 1245853753
Dentist - Oral and Maxillofacial Surgery in El Paso, TX

Active since May 19, 2020
10175 GATEWAY BLVD W STE 304, EL PASO, TX 79925(915) 504-6880 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Jul 31, 2026, May 19, 2020 (3 updates tracked since 2020).

About Dr. Tony Jaewon Kim Dmd NPPES

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

DR. TONY JAEWON KIM DMD (NPI 1245853753) is an individual oral and maxillofacial surgery provider in El Paso, Texas, licensed in Texas (42246) and active in the NPI registry since May 2020. He maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1245853753
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TONY JAEWON KIMCredential: DMD
Location Address10175 GATEWAY BLVD W STE 304El Paso, TX 79925-2203
Mailing Address10175 Gateway Blvd W Ste 304El Paso, TX 79925-2203 · (915) 504-6880
Sole ProprietorNo
Enumeration DateMay 19, 2020
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1245853753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 42246
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.
10175 GATEWAY BLVD W STE 304, El Paso, TX 79925

Secondary Practice Location 1

Location 11770 Cimarron SqEl Paso, TX 79911-2200 · Phone (915) 504-6880

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925
Dentist (Oral and Maxillofacial Surgery)
10175 GATEWAY BLVD W STE 304
EL PASO, TX 79925

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 Tony Kim's NPI number?

The NPI number for Tony Kim is 1245853753. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Tony Kim located?

Tony Kim practices at 10175 Gateway Blvd W Ste 304, El Paso, TX 79925. The listed phone number is (915) 504-6880.

What is Tony 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 Tony 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 4 other insurers list Tony 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 Tony Kim was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.