Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013402692 Individual Practitioner Female Practitioner

Dr. Jennifer Park Kim , DDS

Dentist - General Practice • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Antonio, TX. Practice services are available at 221 3RD ST WEST, BLDG 1040 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

221 3rd St West, Bldg 1040

San Antonio, TX 78148

Telephone 2106521846

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.4 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
786 Specialists

Practicing in San Antonio, 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: 2022-05-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 34083

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

11 Associated Practitioners
Dr. John Mcdonald , DDS

Dentist - General Practice

NPI 1023004405

Doctor of Dental Surgery

NPI 1114447869

Doctor of Dental Medicine

Dr. Phillip Sandefur , DDS

Dentist - General Practice

NPI 1306993043

Doctor of Dental Surgery

Eun Jung Berry , RDH

Dental Hygienist

NPI 1407950587

Registered Dental Hygienist

Dr. Federico Aquino , DDS

Dentist - General Practice

NPI 1417926452

Doctor of Dental Surgery

Dr. Kemal Baksh , DDS

Dentist - General Practice

NPI 1457937229

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 26, 2022

Registered at 221 3RD ST WEST, BLDG 1040, SAN ANTONIO, TX 78148 (Tel: 2106521846)

📍
Updated Practice Location August 31, 2020

Registered at 1671 IH 35 E STE 300, NEW BRAUNFELS, TX 781306823 (Tel: 8307305600)

NPI Profile Active June 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2018

Registered at 1507 E COURT ST STE 107, SEGUIN, TX 781555265 (Tel: 8303729979)

📍
Updated Business Mailing Address June 26, 2018

Registered at 9127 HOGARTEN PARK, CONVERSE, TX 781092804 (Tel: 5712473137)

👤
Provider Name / Credentials Updated June 26, 2018

Recorded as JENNIFER KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Dentist (License #34083 in TX)

🟢
Initial NPI Registration & Enumeration June 26, 2018

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: 1013402692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2018
Last Update: May 26, 2022
Sole Proprietor: No

Mailing Address

9127 Hogarten Park

Converse, TX 781092804

Phone: 5712473137

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.