Song Kim, D.D.S

NPI: 1700115342

Song Kim, D.D.S

Q: What is Song Kim's NPI number?

Song Kim's NPI number is 1700115342, a unique 10-digit identifier issued by CMS.

Q: What does Song Kim specialize in?

Song Kim specializes in Dentistry, taxonomy code 122300000X.

Q: Where does Song Kim practice?

Song Kim practices in Palmdale, CA 93552.

Q: When was Song Kim's NPI issued?

Song Kim's NPI was issued on December 10, 2009.

Q: What is Song Kim's provider type?

Song Kim is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDentistry

NPI issued: December 10, 2009

Quick Facts

NPI Number

1700115342

TypeIndividual

StatusActive

SpecialtyDentistry

Taxonomy122300000X — Dentistry

Phone

(661) 349-8280

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1700115342)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (December 10, 2009)

Data source: CMS NPPES

Provider Overview

SONG KIM, D.D.S is a Dentistry provider based in Palmdale, CA who has been registered with CMS since 2009. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1700115342

Provider TypeIndividual Provider

GenderMale

CredentialD.D.S

StatusActive

Enumeration DateDecember 10, 2009

Practice Location

CityPalmdale

StateCA

ZIP Code93552

Phone(661) 349-8280

Specialties & Licenses

★ Primary

SpecialtyDentistry

Taxonomy Code122300000X

License StateCA

Mailing Address

CityPalmdale

StateCA

ZIP Code93552

Phone(661) 349-8280

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1700115342 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 1700115342for 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 1700115342 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

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