Active NPI 1801524608 Individual Practitioner Female Practitioner

Kelly Kim

Dentist - General Practice • Bulverde, TX

Professional Overview & Biography Verified Profile Summary

Kelly Kim is a registered healthcare professional specializing in Dentist - General Practice in Bulverde, TX. Practice services are available at 3159 IRON CYN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3159 Iron Cyn

Bulverde, TX 781635503

Telephone 2102642962

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bulverde, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Bulverde, TX (10570 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: 2025-03-05

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 38197

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.

Career & Practice History Timeline

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

9 Historical Events

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Provider Name / Credentials Updated March 05, 2025

Recorded as KELLY KIM

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Updated Practice Location November 27, 2024

Registered at 3159 IRON CYN, BULVERDE, TX 781635503 (Tel: 2163338659)

📍

Updated Business Mailing Address November 27, 2024

Registered at 3159 IRON CYN, BULVERDE, TX 781635503

✅

NPI Profile Active August 10, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location August 10, 2022

Registered at 10630 CULEBRA RD, SAN ANTONIO, TX 782511320 (Tel: 2102023165)

📍

Updated Business Mailing Address August 10, 2022

Registered at 10630 CULEBRA RD, SAN ANTONIO, TX 782511320 (Tel: 2102023165)

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Provider Name / Credentials Updated August 10, 2022

Recorded as CHIYONG KIM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Dentist (License #38197 in TX)

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Initial NPI Registration & Enumeration August 10, 2022

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: 1801524608

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2022

Last Update: March 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3159 Iron Cyn

Bulverde, TX 781635503

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.