Kim Ly
NPI 1306417860 · General Practice Dentistry · Los Angeles, CA
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Ly is a General Practice Dentistry provider in Los Angeles, CA (NPI 1306417860).
Provider details
- NPI number
- 1306417860
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 106485 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-07-06
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Frequently asked questions
- What is Kim Ly's NPI number?
- Kim Ly's National Provider Identifier (NPI) is 1306417860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Ly's specialty?
- Kim Ly is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Kim Ly located?
- Kim Ly's practice location on file with NPPES is 5015 Whittier Blvd, Los Angeles, CA 90022-3116.
- What is Kim Ly's phone number?
- The practice phone number listed in the NPPES registry for Kim Ly is (323) 268-9191.
- Does Kim Ly accept Medicare?
- Kim Ly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Ly's NPI active?
- Yes — Kim Ly's NPI (1306417860) is active in the NPPES registry as of the last update on 2021-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.