Sara Kim, DMD
Dentist in Compton, CA. Individual provider (NPI-1).
NPI number1679214480
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1679214480
- Entity type
- Individual (NPI-1)
- Name
- Sara Kim
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Jul 28, 2022
- Last updated
- Sep 1, 2022
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 |
|---|---|---|---|---|
| 122300000X | Dentist | 107667 | CA | Yes |
Practice location
821 W Rosecrans AveCompton, CA 90222-3821
Phone 310-604-4000
Mailing address
350 N Clark St Ste 600Chicago, IL 60654-4782
Other practice locations
350 N Clark St Ste 600
Chicago, IL 60654-4782
Chicago, IL 60654-4782
Phone 312-274-0308
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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All 21 Dentist providers in Compton · All 1,210 providers in Compton
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