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JIN WAN KIM DDS
NPI 1588150841
Dentist - Periodontics in Sunnyvale, CA

Active since July 10, 2018
877 W FREMONT AVE STE I2, SUNNYVALE, CA 94087(650) 964-4867 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 10, 2021, Aug 23, 2018, Jul 10, 2018 (3 updates tracked since 2018).

About Jin Wan Kim Dds NPPES

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

JIN WAN KIM DDS (NPI 1588150841) is an individual periodontics provider in Sunnyvale, California, licensed in California (103133) and active in the NPI registry since July 2018. He maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1588150841
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameJIN WAN KIMCredential: DDS
Location Address877 W FREMONT AVE STE I2Sunnyvale, CA 94087-2319
Mailing Address408 Hillsborough BlvdSan Mateo, CA 94402-1126 · (858) 525-5132
Phone(650) 964-4867
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateSeptember 10, 20213 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1588150841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 103133
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 103133 (CA)
877 W FREMONT AVE STE I2, Sunnyvale, CA 94087
Open in Google Maps ↗

Secondary Practice Location 1

Location 1707 Parnassus AveSan Francisco, CA 94143 · Phone (415) 502-5800

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.

DR. MANISHA GHOSH
Dentist (General Practice)
877 W FREMONT AVE STE I2
SUNNYVALE, CA 94087
Santa Clara County (408) 736-7878
DR. SUDIP GHOSH
Dentist (General Practice)
877 W FREMONT AVE STE I2
SUNNYVALE, CA 94087
Santa Clara County (408) 736-7878

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 Jin Wan Kim's NPI number?

The NPI number for Jin Wan Kim is 1588150841. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Jin Wan Kim located?

Jin Wan Kim practices at 877 W Fremont Ave Ste I2, Sunnyvale, CA 94087. The listed phone number is (650) 964-4867.

What is Jin Wan Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jin Wan 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 Jin Wan 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 Jin Wan Kim was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.