IndividualActive
Dongyeon Kim
NPI 1295224418 · Pediatric Dentistry · Union, MO
Provider details
- NPI number
- 1295224418
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DDS107522 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Student, Health Care
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1780 Old Highway 50 E
Union, MO 63084-3219
Phone: (639) 695-6055
Street-level locationGet directions
Mailing address
2290 Daniels St
Manteca, CA 95337-6706
Registry dates
- Enumerated
- 2018-05-02
- Last updated
- 2023-04-16
- Certified
- 2023-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.