Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699021071 Individual Practitioner Female Practitioner

Dr. Erin Kim , DDS

Dentist • Tracy, CA

Professional Overview & Biography Verified Profile Summary

Dr. Erin Kim, DDS is a registered healthcare professional specializing in Dentist in Tracy, CA. Practice services are available at 2663 NAGLEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2663 Naglee Rd

Tracy, CA 953047317

Telephone 2098364950
Associated Practice Facility / Clinic
🏢 Erick N. Cuenca Dmd Inc Facility NPI 1861602948

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tracy, CA

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

Practicing in Tracy, 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 61663

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

Medicaid State Provider ID
1699021071 (CA)

Secondary Practice Locations

3833 Ming Ave

Bakersfield, CA 933095052

Phone: 6618315437

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Tae Lee , DDS

Dentist - General Practice

NPI 1235207630

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active September 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2017

Registered at 2663 NAGLEE RD, TRACY, CA 953047317 (Tel: 2098364950)

📍
Updated Business Mailing Address September 29, 2017

Registered at 716 S VECINDAD ST, MOUNTAIN HOUSE, CA 953911084

👤
Provider Name / Credentials Updated September 29, 2017

Recorded as ERIN KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2017

Dentist (License #61663 in CA)

NPI Profile Active August 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2012

Registered at 3833 MING AVE, BAKERSFIELD, CA 933095052 (Tel: 6618315437)

📍
Updated Business Mailing Address August 03, 2012

Registered at 37 N CHESTER AVE # 1, PASADENA, CA 911061802 (Tel: 8183832833)

👤
Provider Name / Credentials Updated August 03, 2012

Recorded as AE RIN KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2012

Dentist (License #61663 in CA)

🟢
Initial NPI Registration & Enumeration August 03, 2012

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: 1699021071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2012
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

716 S Vecindad St

Mountain House, CA 953911084

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.