Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245996784 Individual Practitioner Male Practitioner

Dr. Nathan Daebhum Kim , DMD

Dentist • Orange, CA

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Kim, DMD is a registered healthcare professional specializing in Dentist in Orange, CA. Practice services are available at 179 N TUSTIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

179 N Tustin St

Orange, CA 928677716

Telephone 7142881035
Associated Practice Facility / Clinic
🏢 Pakravan Dental Corporation Facility NPI 1073737524

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Orange, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Orange, CA (15331 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: 2024-07-02
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA DDS109885

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL 26956

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

Woodhull Medical Center 760 Broadway, Room 2c319

Brooklyn, NY 11206

Phone: 7189638310

250 E International Speedway Blvd

Deland, FL 327242340

Phone: 3866263296

9050 Whittier Blvd

Pico Rivera, CA 906602410

Phone: 5624561111

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Nisarg Patel , DMD

Dentist - Periodontics

NPI 1114403300

Doctor of Dental Medicine

Magdalena Gonzalez

Dental Assistant

NPI 1134366420
Rosio Nava

Dental Assistant

NPI 1164669560
Rita Avila

Dental Hygienist

NPI 1174864003
Antonio Gamez

Dental Assistant

NPI 1326285727
Clara Angela Bermudez

Dental Assistant

NPI 1366689648

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 02, 2024

Registered at 179 N TUSTIN ST, ORANGE, CA 928677716 (Tel: 7142881035)

📍
Updated Business Mailing Address July 02, 2024

Registered at 5603 OROUKE RD, SUGAR HILL, GA 305182153 (Tel: 6787023050)

📍
Updated Practice Location May 18, 2023

Registered at 250 E INTERNATIONAL SPEEDWAY BLVD, DELAND, FL 327242340 (Tel: 3866263296)

👤
Provider Name / Credentials Updated May 18, 2023

Recorded as NATHAN KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2023

Dentist (License #26956 in FL)

NPI Profile Active November 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2021

Registered at WOODHULL MEDICAL CENTER 760 BROADWAY, ROOM 2C319, BROOKLYN, NY 11206 (Tel: 7189638310)

📍
Updated Business Mailing Address November 09, 2021

Registered at 6051 PALM TRACE LANDINGS DR APT 306, DAVIE, FL 333141870 (Tel: 6787023050)

👤
Provider Name / Credentials Updated November 09, 2021

Recorded as NATHAN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 09, 2021

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: 1245996784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2021
Last Update: July 02, 2024
Sole Proprietor: No

Mailing Address

5603 Orouke Rd

Sugar Hill, GA 305182153

Phone: 6787023050

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.