DR KIM DENTAL CORPORATION
NPI 1952874810
Dentist - General Practice in La Habra, CA

Active since January 03, 2019
651 S BEACH BLVD, LA HABRA, CA 90631(562) 691-3697 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Kim Dental Corporation NPPES

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

DR KIM DENTAL CORPORATION (NPI 1952874810) is a healthcare organization registered as a general practice in La Habra, California and active in the NPI registry since January 2019. The organization lists Seung Hwan Kim, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1952874810
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDR KIM DENTAL CORPORATION
Location Address651 S BEACH BLVDLa Habra, CA 90631-5854
Mailing Address651 S Beach BlvdLa Habra, CA 90631-5854
Organization SubpartNo
Authorized OfficialSeung Hwan KimCeo/president · (213) 505-2088
Enumeration DateJanuary 3, 2019
✔ NPI 1952874810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
651 S BEACH BLVD, La Habra, CA 90631

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Kim Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Kim Dental Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1972964260
13252 CENTURY BLVD STE Q
Garden Grove, CA 92843
(714) 591-5190
✔ PECOS11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr Kim Dental Corporation's NPI number?

The NPI number for Dr Kim Dental Corporation is 1952874810. It was assigned to this organization in the NPPES registry on January 3, 2019.

Where is Dr Kim Dental Corporation located?

Dr Kim Dental Corporation is located at 651 S Beach Blvd, La Habra, CA 90631. The listed phone number is (562) 691-3697.

What is Dr Kim Dental Corporation's specialty?

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

Is Dr Kim Dental Corporation enrolled in Medicare?

Yes. Dr Kim Dental Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Kim Dental Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Dr Kim Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr Kim Dental Corporation accept?

Health plans from UnitedHealthcare list Dr Kim Dental Corporation 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 Dr Kim Dental Corporation was last updated on January 3, 2019. 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.