Sam Kim, DDS

ActiveIndividual ProviderDentistry
NPI issued: June 27, 2006

Quick Facts

NPI Number
1073540621
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(530) 743-4611
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1073540621)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 27, 2006)
Data source: CMS NPPES

Provider Overview

SAM KIM, DDS is a Dentistry provider based in Olivehurst, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1073540621
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateJune 27, 2006

Practice Location

CityOlivehurst
StateCA
ZIP Code95961-4225
Phone(530) 743-4611

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateCA

Mailing Address

CityOlivehurst
StateCA
ZIP Code95961-4225
Phone(530) 743-4611
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1073540621 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1073540621for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1073540621 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Dentistryproviders →
📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Sam Kim's NPI number?
Sam Kim's NPI number is 1073540621, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Sam Kim's NPI currently active?
Yes, Sam Kim's NPI status is Active as of the latest CMS NPPES database updates.
What does Sam Kim specialize in?
Sam Kim specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Sam Kim practice?
Sam Kim practices in Olivehurst, CA 95961-4225.
When was Sam Kim's NPI issued?
Sam Kim's NPI was issued on June 27, 2006.
What is Sam Kim's provider type?
Sam Kim is registered as an Individual Provider under CMS NPI Type 1.