Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629113857 Individual Practitioner Female Practitioner

Dr. Michelle Kyongah Kim , DDS

Dentist • Pasadena, CA

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Kim, DDS is a registered healthcare professional specializing in Dentist in Pasadena, CA. Practice services are available at 2245 E COLORADO BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2245 E Colorado Blvd
Ste 201

Pasadena, CA 91107

Telephone 6264493367
Fax 6264493376
Associated Practice Facility / Clinic
🏢 Michelle K. Kim D.d.s. Corp. Facility NPI 1295979532

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
79 Specialists

Practicing in Pasadena, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 42670

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical/dentical
42670 (CA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2014

Registered at 2245 E COLORADO BLVD, STE 201, PASADENA, CA 91107 (Tel: 6264493367)

📍
Updated Business Mailing Address August 26, 2014

Registered at 2245 E COLORADO BLVD, STE 201, PASADENA, CA 91107 (Tel: 6264493367)

👤
Provider Name / Credentials Updated August 26, 2014

Recorded as MICHELLE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Dentist (License #42670 in CA)

🟢
Initial NPI Registration & Enumeration February 21, 2007

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: 1629113857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: August 26, 2014
Sole Proprietor: No

Mailing Address

2245 E Colorado Blvd, Ste 201

Pasadena, CA 91107

Phone: 6264493367

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.