KITAE KIM
NPI 1467280479
Dentist - General Practice in Salem, OR

Q: What is Kitae Kim's NPI number?

The NPI number for Kitae Kim is 1467280479. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Kitae 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 Kitae Kim was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 22, 2024

436 LANCASTER DR NE, SALEM, OR 97301(503) 391-8920 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kitae Kim NPPES

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

KITAE KIM (NPI 1467280479) is an individual general practice provider in Salem, Oregon, licensed in Oregon (D12058) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1467280479

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKITAE KIM

Location Address436 LANCASTER DR NESalem, OR 97301-4728

Mailing Address17821 Sw Lockwood CtSherwood, OR 97140-6131

Phone(503) 391-8920

Sole ProprietorNo

Enumeration DateJuly 22, 2024

NPPES CertifiedJuly 22, 2024

✔ NPI 1467280479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D12058

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.

436 LANCASTER DR NE, Salem, OR 97301

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Accepted Insurance

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

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 Kitae Kim's NPI number?

The NPI number for Kitae Kim is 1467280479. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Kitae Kim located?

Kitae Kim practices at 436 Lancaster Dr NE, Salem, OR 97301. The listed phone number is (503) 391-8920.

What is Kitae Kim's specialty?

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

What insurance does Kitae Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Kitae 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 Kitae Kim was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.