John Kim
NPI 1831556117 · General Practice Dentistry · Berkeley, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Kim is a General Practice Dentistry provider in Berkeley, CA (NPI 1831556117).
Provider details
- NPI number
- 1831556117
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DE60678182 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 10011 Bridgeport Way SwSte 700Lakewood, WA 98499-2332Phone: (253) 215-1101Fax: (253) 617-0695
Registry dates
- Enumerated
- 2016-01-18
- Last updated
- 2022-07-06
- Certified
- 2022-06-10
Frequently asked questions
- What is John Kim's NPI number?
- John Kim's National Provider Identifier (NPI) is 1831556117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Kim's specialty?
- John Kim is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is John Kim located?
- John Kim's practice location on file with NPPES is 1080 Jones St Apt 411, Berkeley, CA 94710-1559.
- What is John Kim's phone number?
- The practice phone number listed in the NPPES registry for John Kim is (626) 644-3614.
- Does John Kim accept Medicare?
- John Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Kim's NPI active?
- Yes — John Kim's NPI (1831556117) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.