DR. SUSAN HAIWEON KIM D.M.D
NPI 1497171904
Dentist in Cerritos, CA

Q: What is Susan Kim's NPI number?

The NPI number for Susan Kim is 1497171904. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Q: What is Susan Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Kim was last updated on March 7, 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 March 07, 2014

11900 SOUTH ST STE 122, CERRITOS, CA 90703(562) 809-6177(562) 809-7659 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susan Haiweon Kim D.m.d NPPES

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

DR. SUSAN HAIWEON KIM D.M.D (NPI 1497171904) is an individual dentist in Cerritos, California, licensed in California (41438) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1497171904

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. SUSAN HAIWEON KIMCredential: D.M.D

Location Address11900 SOUTH ST STE 122Cerritos, CA 90703-6800

Mailing Address11900 South St Ste 122Cerritos, CA 90703-6800 · (562) 809-6177 · Fax (562) 809-7659

Phone(562) 809-6177

Fax(562) 809-7659

Sole ProprietorYes

Enumeration DateMarch 7, 2014

✔ NPI 1497171904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 41438

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11900 SOUTH ST STE 122, Cerritos, CA 90703

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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 ›

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.

KI LEE DENTAL CORP.

Dentist (General Practice)

11900 SOUTH ST STE 122
CERRITOS, CA 90703

Los Angeles County (562) 809-6177

PAUL KIM DMD,INC

Dentist

11900 SOUTH ST STE 122
CERRITOS, CA 90703

Los Angeles County (562) 809-6177

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 Susan Kim's NPI number?

The NPI number for Susan Kim is 1497171904. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is Susan Kim located?

Susan Kim practices at 11900 South St Ste 122, Cerritos, CA 90703. The listed phone number is (562) 809-6177.

What is Susan Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Susan 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 6 other insurers list Susan 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 Susan Kim was last updated on March 7, 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.