DR. JASON KIM DDS
NPI 1629302138
Dentist - General Practice in Fullerton, CA

Q: What is Jason Kim's NPI number?

The NPI number for Jason Kim is 1629302138. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Q: What is Jason 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 Jason Kim was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 30, 2009

2220 SMOKEWOOD AVE, FULLERTON, CA 92831(714) 853-5086 Get Directions Write a Review

NPPES record last updated: October 21, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jason Kim Dds NPPES

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

DR. JASON KIM DDS (NPI 1629302138) is an individual general practice provider in Fullerton, California, licensed in California (58856) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1629302138

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JASON KIMCredential: DDS

Location Address2220 SMOKEWOOD AVEFullerton, CA 92831-1107

Mailing Address2220 Smokewood AveFullerton, CA 92831-1107 · (714) 853-5086

Phone(714) 853-5086

Sole ProprietorYes

Enumeration DateSeptember 30, 2009

Last NPPES UpdateOctober 21, 2014

✔ NPI 1629302138 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 · 58856

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.

2220 SMOKEWOOD AVE, Fullerton, CA 92831

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Other Providers at the Same Location NPPES

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

JASON KIM DDS, INC

Dentist

2220 SMOKEWOOD AVE
FULLERTON, CA 92831

Orange County (714) 853-5086

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1629302138. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Jason Kim located?

Jason Kim practices at 2220 Smokewood Ave, Fullerton, CA 92831. The listed phone number is (714) 853-5086.

What is Jason 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 Jason Kim was last updated on October 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.