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JI YEON KIM
NPI 1316632011
Dentist - General Practice in Dallas, TX

Active since April 07, 2023
3302 GASTON AVE, DALLAS, TX 75246(214) 828-8215 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Apr 7, 2023 (2 updates tracked since 2023).

About Ji Yeon Kim NPPES

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

JI YEON KIM (NPI 1316632011) is an individual general practice provider in Dallas, Texas, licensed in Texas (41513) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1316632011
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJI YEON KIM
Location Address3302 GASTON AVEDallas, TX 75246-2013
Mailing Address3302 Gaston AveDallas, TX 75246-2013 · (214) 828-8215
Phone(214) 828-8215
Sole ProprietorNo
Enumeration DateApril 7, 2023
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1316632011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 41513
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.
3302 GASTON AVE, Dallas, TX 75246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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.

BRIANNA TREY CALABRIA
Dentist (General Practice)
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
AIMEE ANDREINA DIAZ
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
BRENDA HERNANDEZ MOCTEZUMA
Dental Hygienist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
TERESA ANH PHUONG NGUYEN DMD
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
GRANT KASAL
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8215
SAAD ULLAH MOHAMMED
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
MR. NICOLAS JOSEPH OSTER
Student in an Organized Health Care Education/Training Program
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8100
DR. BRENT B. HUTSON D.D.S., M.S.
Dentist
3302 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 828-8957

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 Ji Yeon Kim's NPI number?

The NPI number for Ji Yeon Kim is 1316632011. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Ji Yeon Kim located?

Ji Yeon Kim practices at 3302 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 828-8215.

What is Ji Yeon Kim's specialty?

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

What insurance does Ji Yeon Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Ji Yeon 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 Ji Yeon Kim was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.