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DR. TIMOTHY Y KIM DMD
NPI 1609482587
Dentist in Antioch, CA

Active since September 16, 2020
5117 LONE TREE WAY, ANTIOCH, CA 94531(310) 365-8643 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Nov 6, 2025, Sep 16, 2020 (3 updates tracked since 2020).

About Dr. Timothy Y Kim Dmd NPPES

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

DR. TIMOTHY Y KIM DMD (NPI 1609482587) is an individual dentist in Antioch, California, licensed in California (105401) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1609482587
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TIMOTHY Y KIMCredential: DMD
Location Address5117 LONE TREE WAYAntioch, CA 94531-8484
Mailing Address5117 Lone Tree WayAntioch, CA 94531-8484 · (925) 777-9898
Phone(310) 365-8643
Sole ProprietorYes
Enumeration DateSeptember 16, 2020
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1609482587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 105401
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.
5117 LONE TREE WAY, Antioch, CA 94531
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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.

DAVID SHEN DENTAL CORP
Dentist (Orthodontics and Dentofacial Orthopedics)
5117 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (925) 777-9922
TIMOTHY Y KIM DMD A PROFESSIONAL CORPORATION
Clinic/Center (Dental)
5117 LONE TREE WAY
ANTIOCH, CA 94531
Contra Costa County (310) 365-8643

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 Timothy Kim's NPI number?

The NPI number for Timothy Kim is 1609482587. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Timothy Kim located?

Timothy Kim practices at 5117 Lone Tree Way, Antioch, CA 94531. The listed phone number is (310) 365-8643.

What is Timothy Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Kim was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.