Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760155527 Individual Practitioner Male Practitioner

Dr. Kenneth Won Kim , DDS

Dentist - General Practice • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Riverside, CA. Practice services are available at 6160 ARLINGTON AVE STE D4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6160 Arlington Ave Ste D4

Riverside, CA 925041900

Telephone 9516370013
Associated Practice Facility / Clinic
🏢 Tina Cho Dmd Inc Facility NPI 1003431834

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Riverside, CA

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

Practicing in Riverside, 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: 2021-07-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 106354

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1043104003

Doctor of Dental Surgery

NPI 1255405064

Doctor of Dental Medicine

Dr. Spencer Cooper , DDS

Dentist - General Practice

NPI 1386420172

Doctor of Dental Surgery

Annette Cho

Dentist - General Practice

NPI 1609709732
Steven Lee

Dentist - General Practice

NPI 1649948944
Dr. Carlos Der Boghossian , DDS

Dentist - General Practice

NPI 1720421225

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 28, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2021

Registered at 6160 ARLINGTON AVE STE D4, RIVERSIDE, CA 925041900 (Tel: 9516370013)

📍
Updated Business Mailing Address July 28, 2021

Registered at 21056 MOUNTAIN GATE DR, RIVERSIDE, CA 925070001 (Tel: 9092485250)

👤
Provider Name / Credentials Updated July 28, 2021

Recorded as KENNETH KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2021

Dentist (License #106354 in CA)

🟢
Initial NPI Registration & Enumeration July 28, 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: 1760155527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2021
Last Update: July 28, 2021
Sole Proprietor: No

Mailing Address

21056 Mountain Gate Dr

Riverside, CA 925070001

Phone: 9092485250

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.