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

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: July 26, 2026.

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
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

Other Providers at the Same Location NPPES

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

Dentist
2220 SMOKEWOOD AVE
FULLERTON, CA 92831

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 with the weekly NPPES data releases published by CMS.