Kelly Kim, D.D.S
NPI 1053625715 · Pediatric Dentistry · Laguna Niguel, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Kim, D.D.S is a Pediatric Dentistry provider in Laguna Niguel, CA (NPI 1053625715).
Provider details
- NPI number
- 1053625715
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- No
- License
- 58075 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
15 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$131 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2011-06-16
Frequently asked questions
- What is Kelly Kim's NPI number?
- Kelly Kim's National Provider Identifier (NPI) is 1053625715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Kim's specialty?
- Kelly Kim is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Kelly Kim located?
- Kelly Kim's practice location on file with NPPES is 30001 Crown Valley Pkwy, Laguna Niguel, CA 92677-1723.
- What is Kelly Kim's phone number?
- The practice phone number listed in the NPPES registry for Kelly Kim is (949) 495-4245.
- Does Kelly Kim accept Medicare?
- Kelly Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Kim's NPI active?
- Yes — Kelly Kim's NPI (1053625715) is active in the NPPES registry as of the last update on 2011-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.