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JOHN HYUNYOUNG KIM, DDS, INC.
NPI 1609219294
Dentist in Irvine, CA

Active since April 12, 2013
19742 MACARTHUR BLVD, SUITE 224, IRVINE, CA 92612(949) 748-3722(949) 502-8855 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Hyunyoung Kim, Dds, Inc. NPPES

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

JOHN HYUNYOUNG KIM, DDS, INC. (NPI 1609219294) is a healthcare organization registered as a dentist in Irvine, California and active in the NPI registry since April 2013. The organization lists John Hyunyoung Kim, President, as its authorized official.

NPPES Registry Identity

NPI1609219294
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJOHN HYUNYOUNG KIM, DDS, INC.
Location Address19742 MACARTHUR BLVD, SUITE 224Irvine, CA 92612-2432
Mailing Address19742 Macarthur Blvd, Suite 224Irvine, CA 92612-2432 · (949) 748-3722 · Fax (949) 502-8855
Phone(949) 748-3722
Fax(949) 502-8855
Organization SubpartNo
Authorized OfficialJohn Hyunyoung KimPresident · (949) 748-3722
Enumeration DateApril 12, 2013
Last NPPES UpdateFebruary 11, 2016
✔ NPI 1609219294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 53915
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.
19742 MACARTHUR BLVD, Irvine, CA 92612
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Hyunyoung Kim, Dds, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20130925000233DME · Oral Surgery - DentistDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MAUREEN A ROUDINE LMFT
Marriage & Family Therapist
19742 MACARTHUR BLVD, SUITE 125
IRVINE, CA 92612
Orange County (949) 466-4024
DR. VICTORIA BLOOM PH.D.
Psychologist (Clinical)
19742 MACARTHUR BLVD, 115
IRVINE, CA 92612
Orange County (949) 474-8494
WILLIAM J TSAI MD INC
Internal Medicine
19742 MACARTHUR BLVD, SUITE 101
IRVINE, CA 92612
Orange County (949) 955-0202
DR. ANITA TORUND VERMUND PH.D.
Psychologist (Clinical)
19742 MACARTHUR BLVD, SUITE 125
IRVINE, CA 92612
Orange County (714) 402-6437
KAYLA NICOLE PIPER AMFT
Marriage & Family Therapist
19742 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (714) 646-8034
MS. GRACIE CHRISTINE LU LCSW
Social Worker (Clinical)
19742 MACARTHUR BLVD, STE. 135
IRVINE, CA 92612
Orange County (949) 505-9982
STEPHANIE WONG PA-C
Physician Assistant
19742 MACARTHUR BLVD
IRVINE, CA 92612
Orange County (949) 428-0330
TRANSFORMING HOPE
Community/Behavioral Health
19742 MACARTHUR BLVD, STE. 135
IRVINE, CA 92612
Orange County (949) 505-9982

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 John Hyunyoung Kim, Dds, Inc.'s NPI number?

The NPI number for John Hyunyoung Kim, Dds, Inc. is 1609219294. It was assigned to this organization in the NPPES registry on April 12, 2013.

Where is John Hyunyoung Kim, Dds, Inc. located?

John Hyunyoung Kim, Dds, Inc. is located at 19742 Macarthur Blvd Suite 224, Irvine, CA 92612. The listed phone number is (949) 748-3722.

What is John Hyunyoung Kim, Dds, Inc.'s specialty?

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

Is John Hyunyoung Kim, Dds, Inc. enrolled in Medicare?

Yes. John Hyunyoung Kim, Dds, Inc. is registered in the Medicare PECOS enrollment system.

When is John Hyunyoung Kim, Dds, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Oral Surgery - Dentist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for John Hyunyoung Kim, Dds, Inc. was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.