Brian D Kim DDS Inc
NPI 1215184072ActiveOrganization· Dentist, General Practice· Tustin, CA
Dentist, General Practice in Tustin, California, registered in NPPES in August 2008. The authorized official on file is Brian Kim, DDS, Dentist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215184072 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2008 |
| Last updated in NPPES | Oct 8, 2025 |
| Certified by provider | Oct 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | 50765 | CA |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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