DR. DONGWHOON ETHAN KIM D.D.S
NPI 1457558587
Dentist - General Practice in La Palma, CA

Q: What is Dongwhoon Kim's NPI number?

The NPI number for Dongwhoon Kim is 1457558587. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Q: What is Dongwhoon 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 Dongwhoon Kim was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 02, 2007

4887 LA PALMA AVE, LA PALMA, CA 90623(213) 248-1818 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Dongwhoon Ethan Kim D.d.s NPPES

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

DR. DONGWHOON ETHAN KIM D.D.S (NPI 1457558587) is an individual general practice provider in La Palma, California, licensed in California (54886) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1457558587

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DONGWHOON ETHAN KIMCredential: D.D.S

Location Address4887 LA PALMA AVELa Palma, CA 90623-2019

Mailing Address4887 La Palma AveLa Palma, CA 90623-2019 · (213) 248-1818

Phone(213) 248-1818

Sole ProprietorYes

Enumeration DateJuly 2, 2007

Last NPPES UpdateJanuary 8, 2014

✔ NPI 1457558587 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 · 54886

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.

4887 LA PALMA AVE, La Palma, CA 90623

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Accepted Insurance

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

DJ DENTAL GROUP, KIM & KIM PROFESSIONAL CORP

Dentist (General Practice)

4887 LA PALMA AVE
LA PALMA, CA 90623

Orange County (714) 778-6614

KYU SOO KANG DDS

Dentist

4887 LA PALMA AVE
LA PALMA, CA 90623

Orange County (714) 778-6614

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 Dongwhoon Kim's NPI number?

The NPI number for Dongwhoon Kim is 1457558587. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Dongwhoon Kim located?

Dongwhoon Kim practices at 4887 La Palma Ave, La Palma, CA 90623. The listed phone number is (213) 248-1818.

What is Dongwhoon Kim's specialty?

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

What insurance does Dongwhoon Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Dongwhoon 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 Dongwhoon Kim was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.