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DR. JEFFERSON KIM DMD
NPI 1275985384
Dentist - General Practice in San Diego, CA

Active since July 13, 2016
5550 CARMEL MOUNTAIN RD STE 101, SAN DIEGO, CA 92130(858) 251-1407 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 9, 2018, Jul 13, 2016 (2 updates tracked since 2016).

About Dr. Jefferson Kim Dmd NPPES

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

DR. JEFFERSON KIM DMD (NPI 1275985384) is an individual general practice provider in San Diego, California, licensed in California (DDS102616) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1275985384
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JEFFERSON KIMCredential: DMD
Location Address5550 CARMEL MOUNTAIN RD STE 101San Diego, CA 92130-4861
Mailing Address5550 Carmel Mountain Rd Ste 101San Diego, CA 92130-4861 · (858) 251-1407
Phone(858) 251-1407
Sole ProprietorNo
Enumeration DateJuly 13, 2016
Last NPPES UpdateOctober 9, 20182 updates tracked since enumeration
✔ NPI 1275985384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS102616
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 D009548 (AZ)
5550 CARMEL MOUNTAIN RD STE 101, San Diego, CA 92130
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Accepted Insurance

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

Other Providers at the Same Location NPPES

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

SHIREEN TABATABAI DMD
Dentist
5550 CARMEL MOUNTAIN RD STE 101
SAN DIEGO, CA 92130
San Diego County (858) 251-1407

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 Jefferson Kim's NPI number?

The NPI number for Jefferson Kim is 1275985384. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Jefferson Kim located?

Jefferson Kim practices at 5550 Carmel Mountain Rd Ste 101, San Diego, CA 92130. The listed phone number is (858) 251-1407.

What is Jefferson Kim's specialty?

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

What insurance does Jefferson Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, 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 Jefferson 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 Jefferson Kim was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.