DR. DAESOON KIM D.D.S. NPI 1831212562

NPI Information

  • NPI: 1831212562
  • Provider Name: DR. DAESOON KIM, D.D.S.
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1724 PROFESSIONAL DR
    SACRAMENTO, CA
    ZIP 95825
  • Phone: (916) 482-4000

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NPI Details

DR. Daesoon Kim, D.D.S. is a prosthodontics dentist in Sacramento, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Daesoon Kim, D.D.S. NPI is 1831212562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1724 PROFESSIONAL DR
SACRAMENTO, CA
ZIP 95825-105
Phone: (916) 482-4000

The NPI 1831212562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/9/2007 and was last updated on 1/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics52412CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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