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Active NPI 1821290909 Individual Practitioner Male Practitioner

Dr. John H Kim , DDS

Dentist - General Practice • Upland, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Upland, CA. Practice services are available at 1152 N MOUNTAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1152 N Mountain Ave
Suite 201

Upland, CA 917863669

Telephone 9099827454
Fax 9099319795

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Upland, CA

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

Practicing in Upland, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 39167

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

5 Associated Practitioners
Dr. Amy Tsai , DDS

Dentist - General Practice

NPI 1124236997

Doctor of Dental Surgery

Jennifer Ankele , MSW, LCSW

Social Worker - Clinical

NPI 1164693248

Master of Social Work, Licensed Clinical Social Worker

Dr. Bryce Tsai , DDS

Dentist - General Practice

NPI 1598896482

Doctor of Dental Surgery

Dr. Cathy Law , DDS

Dentist - General Practice

NPI 1689776155

Doctor of Dental Surgery

Barbara Haskins , LMFT

Counselor - Mental Health

NPI 1700910429

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1152 N MOUNTAIN AVE, SUITE 201, UPLAND, CA 917863669 (Tel: 9099827454)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1152 N. MOUNTAIN AVE, SUITE 201, UPLAND, CA 917863669 (Tel: 9099827454)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #39167 in CA)

🟢
Initial NPI Registration & Enumeration June 01, 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: 1821290909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1152 N. Mountain Ave, Suite 201

Upland, CA 917863669

Phone: 9099827454

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.