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Active NPI 1285287110 Individual Practitioner Female Practitioner

Dr. Jae Eun Kim , DMD

Dentist - General Practice • Pico Rivera, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jae Eun Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Pico Rivera, CA. Practice services are available at 8819 WHITTIER BLVD STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8819 Whittier Blvd Ste 102

Pico Rivera, CA 906602673

Telephone 5626991000
Fax 5626991099
Associated Practice Facility / Clinic
🏢 Jk Family Dental Inc Facility NPI 1104570548

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pico Rivera, CA

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

Practicing in Pico Rivera, 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: 2023-04-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 104068

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 - Dental Public Health

NUCC Taxonomy Code: 1223D0001X

State License CA 104068

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
104068 (CA)
Commercial Insurance / Payer ID Availity
104068 (CA)

Secondary Practice Locations

14880 Whittier Blvd

Whittier, CA 906051727

Phone: 5625679051

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 13, 2023

Registered at 8819 WHITTIER BLVD STE 102, PICO RIVERA, CA 906602673 (Tel: 5626991000)

📍
Updated Business Mailing Address April 13, 2023

Registered at 8819 WHITTIER BLVD STE 102, PICO RIVERA, CA 906602673 (Tel: 5626991000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2023

Dentist (License #104068 in CA)

NPI Profile Active July 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2019

Registered at 14880 WHITTIER BLVD, WHITTIER, CA 906051727 (Tel: 5625679051)

📍
Updated Business Mailing Address July 19, 2019

Registered at 14880 WHITTIER BLVD, WHITTIER, CA 906051727

👤
Provider Name / Credentials Updated July 19, 2019

Recorded as JAE EUN KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2019

Dentist (License #104068 in CA)

🟢
Initial NPI Registration & Enumeration July 19, 2019

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: 1285287110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2019
Last Update: April 13, 2023
Sole Proprietor: Yes

Mailing Address

8819 Whittier Blvd Ste 102

Pico Rivera, CA 906602673

Phone: 5626991000

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.