IndividualActive
Changsook Kim, DDS
NPI 1114034139 · Dentist · Duarte, CA
Changsook Kim, DDS is a Dentist provider in Duarte, CA (NPI 1114034139).
Provider details
- NPI number
- 1114034139
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 39166 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1755 E Huntington Dr
#101
Duarte, CA 91010
Phone: (626) 357-9909
Fax: (626) 358-7245
Street-level locationGet directions
Mailing address
1755 E Huntington Dr
Duarte, CA 91010
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Changsook Kim's NPI number?
- Changsook Kim's National Provider Identifier (NPI) is 1114034139, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Changsook Kim's specialty?
- Changsook Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Changsook Kim located?
- Changsook Kim's practice location on file with NPPES is 1755 E Huntington Dr, Duarte, CA 91010.
- What is Changsook Kim's phone number?
- The practice phone number listed in the NPPES registry for Changsook Kim is (626) 357-9909.
- Is Changsook Kim's NPI active?
- Yes — Changsook Kim's NPI (1114034139) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.