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ANSONY KIM, DDS INC
NPI 1629629134
Dentist - Pediatric Dentistry in Oakley, CA

Active since September 25, 2019
2591 MAIN ST, OAKLEY, CA 94561(925) 690-5437(925) 690-5438 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2020, Apr 14, 2020, Sep 25, 2019 (3 updates tracked since 2019).

About Ansony Kim, Dds Inc NPPES

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

ANSONY KIM, DDS INC (NPI 1629629134) is a healthcare organization registered as a pediatric dentistry in Oakley, California and active in the NPI registry since September 2019. The organization lists Ansony Jin Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1629629134
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameANSONY KIM, DDS INC
Location Address2591 MAIN STOakley, CA 94561-1854
Mailing AddressPo Box 4604Walnut Creek, CA 94596-0604 · (510) 334-3622
Phone(925) 690-5437
Fax(925) 690-5438
Organization SubpartNo
Authorized OfficialAnsony Jin KimOwner · (510) 334-3622
Enumeration DateSeptember 25, 2019
Last NPPES UpdateMay 19, 20203 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1629629134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2591 MAIN ST, Oakley, CA 94561
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. PHI LUONG D.D.S
Dentist (Pediatric Dentistry)
2591 MAIN ST
OAKLEY, CA 94561
Contra Costa County (925) 690-5437

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 Ansony Kim, Dds Inc's NPI number?

The NPI number for Ansony Kim, Dds Inc is 1629629134. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Ansony Kim, Dds Inc located?

Ansony Kim, Dds Inc is located at 2591 Main St, Oakley, CA 94561. The listed phone number is (925) 690-5437.

What is Ansony Kim, Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ansony Kim, Dds Inc was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.