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

DR. JOHN Y KIM DMD
NPI 1306365259
Dentist - General Practice in San Diego, CA

Active since September 12, 2017
4428 CONVOY ST STE 230, SAN DIEGO, CA 92111(858) 573-2833(858) 573-8627 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017 (2 updates tracked since 2017).

About Dr. John Y Kim Dmd NPPES

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

DR. JOHN Y KIM DMD (NPI 1306365259) is an individual general practice provider in San Diego, California, licensed in California (DDS101820) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1306365259
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN Y KIMCredential: DMD
Location Address4428 CONVOY ST STE 230San Diego, CA 92111-3761
Mailing Address4428 Convoy St Ste 230San Diego, CA 92111-3761 · (858) 573-2833 · Fax (858) 573-8627
Phone(858) 573-2833
Fax(858) 573-8627
Sole ProprietorNo
Enumeration DateSeptember 12, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1306365259 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 · DDS101820
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.
4428 CONVOY ST STE 230, San Diego, CA 92111
Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

WADE AND GHORBANIAN DDS INC.
Clinic/Center (Dental)
4428 CONVOY ST STE 230
SAN DIEGO, CA 92111
San Diego County (858) 573-2833
DR. GEE H KIM DDS, MAGD
Dentist (General Practice)
4428 CONVOY ST STE 230
SAN DIEGO, CA 92111
San Diego County (858) 573-2833
NAJEEB FRANGOOL DMD
Dentist
4428 CONVOY ST STE 230
SAN DIEGO, CA 92111
San Diego County (858) 261-2735

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 John Kim's NPI number?

The NPI number for John Kim is 1306365259. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is John Kim located?

John Kim practices at 4428 Convoy St Ste 230, San Diego, CA 92111. The listed phone number is (858) 573-2833.

What is John Kim's specialty?

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

What insurance does John Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list John 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 John Kim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.