Heekeun Kim, DMD
Dentist, General Practice in Bakersfield, CA. Individual provider (NPI-1).
NPI number1053907618
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1053907618
- Entity type
- Individual (NPI-1)
- Name
- Heekeun Kim
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2020
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 105886 | CA | Yes |
Practice location
3990 Ming AveBakersfield, CA 93309-5005
Phone 661-323-1111
Mailing address
Po Box 10059Bakersfield, CA 93389-0059
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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