IndividualActiveAccepts Medicare
Jennifer Kim
NPI 1730500893 · Dentist · Buena Park, CA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1730500893
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 62877 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5300 Beach Blvd
Suite #109
Buena Park, CA 90621-1250
Phone: (714) 522-3734
Street-level locationGet directions
Mailing address
5300 Beach Blvd
Buena Park, CA 90621-1250
Registry dates
- Enumerated
- 2013-12-16
- Last updated
- 2013-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.