Ansony Kim, DDS Inc
NPI 1629629134ActiveOrganization· Dentist, Pediatric Dentistry· Oakley, CA
Dentist, Pediatric Dentistry in Oakley, California, registered in NPPES in September 2019. The authorized official on file is Ansony Jin Kim, DDS, Owner.
Overview
| NPI | 1629629134 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2019 |
| Last updated in NPPES | May 19, 2020 |
| Certified by provider | May 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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