Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073540621 Individual Practitioner Male Practitioner

Dr. Sam Y.h. Kim , DDS

Dentist - General Practice • Olivehurst, CA

Professional Overview & Biography Verified Profile Summary

Dr. Sam Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Olivehurst, CA. Practice services are available at 4941 OLIVEHURST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4941 Olivehurst Ave

Olivehurst, CA 959614225

Telephone 5307434611
Associated Practice Facility / Clinic
🏢 Ampla Health Facility NPI 1336630839

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Olivehurst, CA

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

Practicing in Olivehurst, 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: 2021-07-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 46396

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 28438

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.

Secondary Practice Locations

1111 2nd St

Rosenberg, TX 774713401

Phone: 2813425020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Harpreet Johl , MD

Family Medicine

NPI 1053423202

Doctor of Medicine (M.D.)

Francisco Martinez , PA

Physician Assistant - Medical

NPI 1073532479

Physician Assistant

Kimberlee Fritz , FNP

Nurse Practitioner

NPI 1144245077

Family Nurse Practitioner

NPI 1225012008

Doctor of Medicine (M.D.)

Belquis Amani , PA

Physician Assistant

NPI 1275512907

Physician Assistant

Vonda Treat , NP

Nurse Practitioner

NPI 1275558108

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Dentist (License #46396 in CA)

📍
Updated Practice Location May 08, 2020

Registered at 4941 OLIVEHURST AVE, OLIVEHURST, CA 959614225 (Tel: 5307434611)

📍
Updated Business Mailing Address May 08, 2020

Registered at 12613 LINCOLNSHIRE DR, BAKERSFIELD, CA 933119586 (Tel: 7025617996)

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2015

Registered at 1111 2ND ST, ROSENBERG, TX 774713401 (Tel: 2813425020)

📍
Updated Business Mailing Address November 11, 2015

Registered at 2111 MIDWAY CT, LEAGUE CITY, TX 775736298 (Tel: 7025617996)

👤
Provider Name / Credentials Updated November 11, 2015

Recorded as SAM KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Dentist (License #28438 in TX)

🟢
Initial NPI Registration & Enumeration June 27, 2006

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: 1073540621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: July 14, 2021
Sole Proprietor: No

Mailing Address

12613 Lincolnshire Dr

Bakersfield, CA 933119586

Phone: 7025617996

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.