Ki Wan Kim, D.D.S.
NPI 1689961120 · Endodontics · Oceanside, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ki Wan Kim, D.D.S. is a Endodontics provider in Oceanside, CA (NPI 1689961120).
Provider details
- NPI number
- 1689961120
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 60 | 45 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 27 | 22 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 15 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2014-11-14
Frequently asked questions
- What is Ki Wan Kim's NPI number?
- Ki Wan Kim's National Provider Identifier (NPI) is 1689961120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ki Wan Kim's specialty?
- Ki Wan Kim is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Ki Wan Kim located?
- Ki Wan Kim's practice location on file with NPPES is 3601 Vista Way, Oceanside, CA 92056-4559.
- What is Ki Wan Kim's phone number?
- The practice phone number listed in the NPPES registry for Ki Wan Kim is (760) 439-1871.
- Does Ki Wan Kim accept Medicare?
- Ki Wan Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ki Wan Kim's NPI active?
- Yes — Ki Wan Kim's NPI (1689961120) is active in the NPPES registry as of the last update on 2014-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.