DR. SOO BIN KIM MS, DDS, PA
NPI 1376578260
Dentist - General Practice in San Antonio, TX

Q: What is Soo Kim's NPI number?

The NPI number for Soo Kim is 1376578260. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Soo Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soo Kim was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 11, 2006

14855 BLANCO RD STE 413, SAN ANTONIO, TX 78216(210) 493-7506(210) 493-7048 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Soo Bin Kim Ms, Dds, Pa NPPES

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

DR. SOO BIN KIM MS, DDS, PA (NPI 1376578260) is an individual general practice provider in San Antonio, Texas, licensed in Texas (21422) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376578260

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SOO BIN KIMCredential: MS, DDS, PA

Location Address14855 BLANCO RD STE 413San Antonio, TX 78216-7731

Mailing Address15003 Rio Rancho WayHelotes, TX 78023-4714 · (404) 354-6787

Phone(210) 493-7506

Fax(210) 493-7048

Sole ProprietorNo

Enumeration DateJuly 11, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1376578260 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 · 21422

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.

14855 BLANCO RD STE 413, San Antonio, TX 78216

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Other Identifiers 3

Other21422TX · Dentist License

Medicaid164876801TX

OtherD008391AZ · Dentist License

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.

DEERFIELD DENTAL

Dentist

14855 BLANCO RD STE 413
SAN ANTONIO, TX 78216

Bexar County (210) 408-6000

MS. ANA REYES RETANA DDS

Dentist

14855 BLANCO RD STE 413
SAN ANTONIO, TX 78216

Bexar County (210) 884-7805

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 Soo Kim's NPI number?

The NPI number for Soo Kim is 1376578260. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Soo Kim located?

Soo Kim practices at 14855 Blanco Rd Ste 413, San Antonio, TX 78216. The listed phone number is (210) 493-7506.

What is Soo Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Soo Kim was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.