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Jennifer Kim, DDS
NPI 1790217115 · Dentist · San Jose, CA
Jennifer Kim, DDS is a Dentist provider in San Jose, CA (NPI 1790217115).
Provider details
- NPI number
- 1790217115
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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.
Practice location
1170 Lockhaven Way
San Jose, CA 95129-4031
Phone: (408) 892-0223
Street-level locationGet directions
Mailing address
200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Registry dates
- Enumerated
- 2017-04-03
- Last updated
- 2018-10-24
Frequently asked questions
- What is Jennifer Kim's NPI number?
- Jennifer Kim's National Provider Identifier (NPI) is 1790217115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Kim's specialty?
- Jennifer Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jennifer Kim located?
- Jennifer Kim's practice location on file with NPPES is 1170 Lockhaven Way, San Jose, CA 95129-4031.
- What is Jennifer Kim's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Kim is (408) 892-0223.
- Is Jennifer Kim's NPI active?
- Yes — Jennifer Kim's NPI (1790217115) is active in the NPPES registry as of the last update on 2018-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.