IndividualActive
Jisoo Kim
NPI 1013796309 · Dentist · San Jose, CA
Jisoo Kim is a Dentist provider in San Jose, CA (NPI 1013796309).
Provider details
- NPI number
- 1013796309
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 109428 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1628 Hostetter Rd Ste J
San Jose, CA 95131-3309
Phone: (408) 929-9999
Street-level locationGet directions
Mailing address
1887 Greenfield Ave Apt 310
Los Angeles, CA 90025-4416
Registry dates
- Enumerated
- 2023-09-26
- Last updated
- 2023-09-26
- Certified
- 2023-09-26
Frequently asked questions
- What is Jisoo Kim's NPI number?
- Jisoo Kim's National Provider Identifier (NPI) is 1013796309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jisoo Kim's specialty?
- Jisoo Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jisoo Kim located?
- Jisoo Kim's practice location on file with NPPES is 1628 Hostetter Rd Ste J, San Jose, CA 95131-3309.
- What is Jisoo Kim's phone number?
- The practice phone number listed in the NPPES registry for Jisoo Kim is (408) 929-9999.
- Is Jisoo Kim's NPI active?
- Yes — Jisoo Kim's NPI (1013796309) is active in the NPPES registry as of the last update on 2023-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.