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MR. JINSOO KIM DDS
NPI 1316019995
Dentist - Dentist Anesthesiologist in Richardson, TX

Active since November 15, 2006
4112 E RENNER RD, RICHARDSON, TX 75082(972) 480-0800(972) 480-0900 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jinsoo Kim Dds NPPES

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

MR. JINSOO KIM DDS (NPI 1316019995) is an individual dentist anesthesiologist in Richardson, Texas, licensed in Texas (28856) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1316019995
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameMR. JINSOO KIMCredential: DDS
Location Address4112 E RENNER RDRichardson, TX 75082-2832
Mailing Address7505 Vineyard TrlGarland, TX 75044-2105 · (253) 394-4186 · Fax (888) 502-2615
Phone(972) 480-0800
Fax(972) 480-0900
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 4, 2016
✔ NPI 1316019995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in TX · 28856
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10618 (WA)
4112 E RENNER RD, Richardson, TX 75082
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.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.

LONE STAR DENTAL ANESTHESIA
Dentist (Dentist Anesthesiologist)
4112 E RENNER RD
RICHARDSON, TX 75082
Dallas County (972) 536-3972
DR. HASAN ZIA D.D.S
Dentist (Dentist Anesthesiologist)
4112 E RENNER RD
RICHARDSON, TX 75082
Dallas County (972) 536-3972

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 Jinsoo Kim's NPI number?

The NPI number for Jinsoo Kim is 1316019995. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Jinsoo Kim located?

Jinsoo Kim practices at 4112 E Renner Rd, Richardson, TX 75082. The listed phone number is (972) 480-0800.

What is Jinsoo Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Jinsoo Kim accept?

Health plans from Guardian list Jinsoo 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 Jinsoo Kim was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.