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JENNIFER EUNJI KIM DDS
NPI 1790217115
Dentist in San Jose, CA

Active since April 03, 2017
1170 LOCKHAVEN WAY, SAN JOSE, CA 95129(408) 892-0223 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Eunji Kim Dds NPPES

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

JENNIFER EUNJI KIM DDS (NPI 1790217115) is an individual dentist in San Jose, California, licensed in California (103237) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1790217115
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJENNIFER EUNJI KIMCredential: DDS
Location Address1170 LOCKHAVEN WAYSan Jose, CA 95129-4031
Mailing Address200 Belle Terre RdPort Jefferson, NY 11777-1928 · (631) 474-6553
Phone(408) 892-0223
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateOctober 24, 2018
✔ NPI 1790217115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 103237
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1170 LOCKHAVEN WAY, San Jose, CA 95129
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Accepted Insurance

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

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1790217115. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Jennifer Kim located?

Jennifer Kim practices at 1170 Lockhaven Way, San Jose, CA 95129. The listed phone number is (408) 892-0223.

What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jennifer Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jennifer 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 Jennifer Kim was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.