IndividualActive
Jonathan Kim, DMD
NPI 1003507633 · Dentist · San Diego, CA
Jonathan Kim, DMD is a Dentist provider in San Diego, CA (NPI 1003507633).
Provider details
- NPI number
- 1003507633
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 110273 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2050 El Cajon Blvd
San Diego, CA 92104-1007
Phone: (619) 637-9774
Street-level locationGet directions
Mailing address
11778 Carmel Creek Rd Apt 203
San Diego, CA 92130-6606
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2024-11-08
- Certified
- 2024-11-08
Frequently asked questions
- What is Jonathan Kim's NPI number?
- Jonathan Kim's National Provider Identifier (NPI) is 1003507633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Kim's specialty?
- Jonathan Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jonathan Kim located?
- Jonathan Kim's practice location on file with NPPES is 2050 El Cajon Blvd, San Diego, CA 92104-1007.
- What is Jonathan Kim's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Kim is (619) 637-9774.
- Is Jonathan Kim's NPI active?
- Yes — Jonathan Kim's NPI (1003507633) is active in the NPPES registry as of the last update on 2024-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.