Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831556117 Individual Practitioner Male Practitioner

John Kim

Dentist - General Practice • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

John Kim is a registered healthcare professional specializing in Dentist - General Practice in Berkeley, CA. Practice services are available at 1080 JONES ST APT 411 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1080 Jones St Apt 411

Berkeley, CA 947101559

Telephone 6266443614

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
76 Specialists

Practicing in Berkeley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 65365

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE60678182

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

10011 Bridgeport Way Sw, Ste 700

Lakewood, WA 984992332

Phone: 2532151101

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 06, 2022

Registered at 1080 JONES ST APT 411, BERKELEY, CA 947101559 (Tel: 6266443614)

📍
Updated Business Mailing Address July 06, 2022

Registered at 1080 JONES ST APT 411, BERKELEY, CA 947101559 (Tel: 6266443614)

NPI Profile Active December 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2016

Registered at 10011 BRIDGEPORT WAY SW, STE 700, LAKEWOOD, WA 984992332 (Tel: 2532151101)

📍
Updated Business Mailing Address December 01, 2016

Registered at 10011 BRIDGEPORT WAY SW, STE 700, LAKEWOOD, WA 984992332 (Tel: 2532151101)

👤
Provider Name / Credentials Updated December 01, 2016

Recorded as JOHN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2016

Dentist (License #DE60678182 in WA)

🟢
Initial NPI Registration & Enumeration January 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831556117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2016
Last Update: July 06, 2022
Sole Proprietor: No

Mailing Address

1080 Jones St Apt 411

Berkeley, CA 947101559

Phone: 6266443614

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.