DR. NATHAN DAEBHUM KIM DMD
NPI 1245996784
Dentist in Orange, CA

Active since November 09, 2021
179 N TUSTIN ST, ORANGE, CA 92867(714) 288-1035 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2024, May 18, 2023, Nov 9, 2021 (3 updates tracked since 2021).

About Dr. Nathan Daebhum Kim Dmd NPPES

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

DR. NATHAN DAEBHUM KIM DMD (NPI 1245996784) is an individual dentist in Orange, California, licensed in California (DDS109885) and active in the NPI registry since November 2021. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245996784
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NATHAN DAEBHUM KIMCredential: DMD
Location Address179 N TUSTIN STOrange, CA 92867-7716
Mailing Address5603 Orouke RdSugar Hill, GA 30518-2153 · (678) 702-3050
Sole ProprietorNo
Enumeration DateNovember 9, 2021
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1245996784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · DDS109885
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 26956 (FL)
179 N TUSTIN ST, Orange, CA 92867

Secondary Practice Locations 3

Location 1Woodhull Medical Center 760 Broadway, Room 2c319Brooklyn, NY 11206 · Phone (718) 963-8310
Location 2250 E International Speedway BlvdDeland, FL 32724-2340 · Phone (386) 626-3296
Location 39050 Whittier BlvdPico Rivera, CA 90660-2410 · Phone (562) 456-1111

Accepted 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.

Dentist (General Practice)
179 N TUSTIN ST
ORANGE, CA 92867
Dentist (General Practice)
179 N TUSTIN ST
ORANGE, CA 92867
Dentist (Periodontics)
179 N TUSTIN ST
ORANGE, CA 92867
Dental Assistant
179 N TUSTIN ST
ORANGE, CA 92867
Dental Assistant
179 N TUSTIN ST
ORANGE, CA 92867
Dental Hygienist
179 N TUSTIN ST
ORANGE, CA 92867
Dental Assistant
179 N TUSTIN ST
ORANGE, CA 92867
Dental Assistant
179 N TUSTIN ST
ORANGE, CA 92867

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 Nathan Kim's NPI number?

The NPI number for Nathan Kim is 1245996784. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Nathan Kim located?

Nathan Kim practices at 179 N Tustin St, Orange, CA 92867. The listed phone number is (714) 288-1035.

What is Nathan Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nathan Kim accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list Nathan 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 Nathan Kim was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.