JISUN KIM
NPI 1518722941
Dentist - General Practice in San Diego, CA

Q: What is Jisun Kim's NPI number?

The NPI number for Jisun Kim is 1518722941. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Q: What is Jisun 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 Jisun Kim was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 February 15, 2024

2310 CRAVEN ST UNIT 3230, SAN DIEGO, CA 92136(619) 556-8240 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jisun Kim NPPES

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

JISUN KIM (NPI 1518722941) is an individual general practice provider in San Diego, California, licensed in California (112452) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1518722941

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJISUN KIM

Location Address2310 CRAVEN ST UNIT 3230San Diego, CA 92136-5596

Mailing Address800 Broadway Apt 1807San Diego, CA 92101-5656 · (831) 359-3687

Phone(619) 556-8240

Sole ProprietorYes

Enumeration DateFebruary 15, 2024

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1518722941 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 · 112452

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.

2310 CRAVEN ST UNIT 3230, San Diego, CA 92136

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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.

ZACHARY MARK TRAMMELL DMD

Dentist

2310 CRAVEN ST UNIT 3230
SAN DIEGO, CA 92136

San Diego County (619) 556-8240

MR. KYLE LALANNE MCINTIRE PROPHY TECH

Dental Assistant

2310 CRAVEN ST UNIT 3230
SAN DIEGO, CA 92136

San Diego County (513) 604-7471

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 Jisun Kim's NPI number?

The NPI number for Jisun Kim is 1518722941. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Jisun Kim located?

Jisun Kim practices at 2310 Craven St Unit 3230, San Diego, CA 92136. The listed phone number is (619) 556-8240.

What is Jisun 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 Jisun Kim was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.