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DR. ANNE SOOYUN KIM DDS
NPI 1275654501
Dentist - General Practice in San Diego, CA

Active since April 03, 2007
501 WASHINGTON ST STE 740, SAN DIEGO, CA 92103(619) 296-2172(619) 296-2178 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anne Sooyun Kim Dds NPPES

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

DR. ANNE SOOYUN KIM DDS (NPI 1275654501) is an individual general practice provider in San Diego, California, licensed in California (55536) and active in the NPI registry since April 2007. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275654501
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANNE SOOYUN KIMCredential: DDS
Location Address501 WASHINGTON ST STE 740San Diego, CA 92103-2231
Mailing Address19333 Bear Valley Rd, Suite 205Apple Valley, CA 92308-5148 · (760) 247-4155 · Fax (760) 247-4955
Phone(619) 296-2172
Fax(619) 296-2178
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1275654501 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 · 55536
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.
501 WASHINGTON ST STE 740, San Diego, CA 92103
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Secondary Practice Locations 2

Location 119333 Bear Valley Rd, Suite 205Apple Valley, CA 92308-5148 · Phone (760) 247-4155 · Fax (760) 247-4955
Location 2920 Washington StSan Diego, CA 92103-2208 · Phone (619) 296-6136

Other Identifiers 1

Medicaid1275654501CA

Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

BRUCE SHINTARO ABE D.D.S.
Dentist (Periodontics)
501 WASHINGTON ST STE 740
SAN DIEGO, CA 92103
San Diego County (619) 393-7511
A.S. KIM DDS, INC.
Dentist (General Practice)
501 WASHINGTON ST STE 740
SAN DIEGO, CA 92103
San Diego County (619) 296-2172

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 Anne Kim's NPI number?

The NPI number for Anne Kim is 1275654501. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Anne Kim located?

Anne Kim practices at 501 Washington St Ste 740, San Diego, CA 92103. The listed phone number is (619) 296-2172.

What is Anne Kim's specialty?

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

What insurance does Anne Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Anne 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 Anne Kim was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.