Jessica Kiyun Kim, DDS
NPI 1306529235ActiveIndividual· Dentist, General Practice· Seaside, CA
Dentist, General Practice (DDS) in Seaside, California, licensed in CA, with an NPI issued in August 2023.
Overview
| NPI | 1306529235 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Aug 8, 2023 |
| Last updated in NPPES | Aug 18, 2023 |
| Certified by provider | Aug 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 109126 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Seaside
- 1982301248
- 1912610981
- 1104206739
- 1336548536
- 1902646813
- 1326244377
- 1598327017
- 1265872311
- 1144388430
- 1376857771