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JOHN Y KIM DDS, PC
NPI 1710107305
Dentist - General Practice in Surprise, AZ

Active since April 26, 2007
14545 W GRAND AVE, SUITE 111, SURPRISE, AZ 85374(623) 975-9775(623) 975-9449 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Y Kim Dds, Pc NPPES

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

JOHN Y KIM DDS, PC (NPI 1710107305) is a healthcare organization registered as a general practice in Surprise, Arizona and active in the NPI registry since April 2007. The organization lists John Kim, President, as its authorized official.

NPPES Registry Identity

NPI1710107305
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN Y KIM DDS, PC
Location Address14545 W GRAND AVE, SUITE 111Surprise, AZ 85374-7278
Mailing Address14545 W Grand Ave, Suite 111Surprise, AZ 85374-7278 · (623) 975-9775 · Fax (623) 975-9449
Phone(623) 975-9775
Fax(623) 975-9449
Organization SubpartNo
Authorized OfficialJohn KimPresident · (623) 975-9775
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710107305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 5654
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.
14545 W GRAND AVE, Surprise, AZ 85374
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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

Other Providers at the Same Location NPPES 3

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

VITAL CARE REHABILITATION, LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
14545 W GRAND AVE, SUITE 108
SURPRISE, AZ 85374
Maricopa County (623) 544-0300
SURPRISE CHIROPRACTIC GROUP, L.L.C.
Chiropractor
14545 W GRAND AVE, SUITE # A106
SURPRISE, AZ 85374
Maricopa County (623) 544-9111
DR. JOHN Y. KIM D.D.S.
Dentist
14545 W GRAND AVE, SUITE 111
SURPRISE, AZ 85374
Maricopa County (623) 975-9775

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 Y Kim Dds, PC's NPI number?

The NPI number for John Y Kim Dds, PC is 1710107305. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is John Y Kim Dds, PC located?

John Y Kim Dds, PC is located at 14545 W Grand Ave Suite 111, Surprise, AZ 85374. The listed phone number is (623) 975-9775.

What is John Y Kim Dds, PC'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 John Y Kim Dds, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.