1. Home
  2. Directory
  3. Arizona
  4. Lake Havasu City
  5. Dentist
  6. NPI Profile

CHANG KIM D.M.D.
NPI 1780036475
Dentist - General Practice in Lake Havasu City, AZ

Active since July 06, 2016
1971 MCCULLOCH BLVD N STE 100, LAKE HAVASU CITY, AZ 86403(928) 733-6070 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chang Kim D.m.d. NPPES

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

CHANG KIM D.M.D. (NPI 1780036475) is an individual general practice provider in Lake Havasu City, Arizona, licensed in Arizona (D009530) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1780036475
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHANG KIMCredential: D.M.D.
Location Address1971 MCCULLOCH BLVD N STE 100Lake Havasu City, AZ 86403-6118
Mailing Address2095 Mesquite Ave Unit 23Lake Havasu City, AZ 86403-6749
Phone(928) 733-6070
Sole ProprietorYes
Enumeration DateJuly 6, 2016
✔ NPI 1780036475 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 · D009530
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.

1971 MCCULLOCH BLVD N STE 100, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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.

DR. RYAN MICHAEL KURTZ DMD
Dentist (General Practice)
1971 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 733-6070
ROXANA IMANIAN DMD
Dentist
1971 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 733-6070
DR. LANDON ALLEN DMD
Dentist (General Practice)
1971 MCCULLOCH BLVD N STE 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 733-6070

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 Chang Kim's NPI number?

The NPI number for Chang Kim is 1780036475. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Chang Kim located?

Chang Kim practices at 1971 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403. The listed phone number is (928) 733-6070.

What is Chang Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Chang Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Chang Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chang Kim was last updated on July 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.