JAE DO KIM D.D.S.
NPI 1437501566
Dentist - General Practice in Fort Bragg, CA

NPI Status: Active since July 13, 2016

Contact Information

205 SOUTH ST
FORT BRAGG, CA
ZIP 95437
Phone: (707) 961-4088

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  • Individual
  • Male
  • Dentist
  • General Practice

About JAE KIM

This page provides the complete NPI Profile along with additional information for Jae Kim, a provider established in Fort Bragg, California with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1437501566 assigned on July 2016. The practitioner's primary taxonomy code is 1223G0001X with license number 102969 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1437501566
Provider Name
JAE DO KIM D.D.S.
Gender
Male
Entity Type
Individual
Location Address
205 SOUTH ST FORT BRAGG, CA 95437
Location Phone
(707) 961-4088
Mailing Address
5120 NW 17TH ST OKLAHOMA CITY, OK 73127
Mailing Phone
(678) 717-9568
Is Sole Proprietor?
Yes
Enumeration Date
07-13-2016
Last Update Date
03-07-2023
Code Navigator

A dentist like Jae Kim is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

  • 1 Brookdale Plz
    Brooklyn, NY 11212
    (718) 240-6552

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
102969
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(NY)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437501566, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 0 + 0 + 2 + 5 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1437501566.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Internal Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Family Medicine (Adult Medicine)
205 SOUTH ST
FORT BRAGG, CA 95437
Family Medicine
205 SOUTH ST
FORT BRAGG, CA 95437
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Physician Assistant
205 SOUTH ST
FORT BRAGG, CA 95437
Dental Hygienist
205 SOUTH ST
FORT BRAGG, CA 95437
Dentist
205 SOUTH ST
FORT BRAGG, CA 95437
Psychologist
205 SOUTH ST
FORT BRAGG, CA 95437
Dentist
205 SOUTH ST
FORT BRAGG, CA 95437
Physician Assistant
205 SOUTH ST
FORT BRAGG, CA 95437
Psychiatry & Neurology (Psychiatry)
205 SOUTH ST
FORT BRAGG, CA 95437
Nurse Practitioner
205 SOUTH ST
FORT BRAGG, CA 95437
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Nurse Practitioner
205 SOUTH ST
FORT BRAGG, CA 95437
Social Worker (Clinical)
205 SOUTH ST
FORT BRAGG, CA 95437
Psychologist (Cognitive & Behavioral)
205 SOUTH ST
FORT BRAGG, CA 95437
Acupuncturist
205 SOUTH ST
FORT BRAGG, CA 95437
Physician Assistant (Medical)
205 SOUTH ST
FORT BRAGG, CA 95437
Nurse Practitioner (Family)
205 SOUTH ST
FORT BRAGG, CA 95437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437501566, enumerated as an "individual" on July 13, 2016.

The provider is located at 205 SOUTH ST FORT BRAGG, CA 95437 and the phone number is (707) 961-4088.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.