Individual Healthcare Provider
Paul Sung Jun Kim, DMD
Provider's NPPES record last updated: April 1, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1114505138
- Primary Specialty
- Dentist — General Practice
- Practice Location
- Commerce, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 8:54 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
General Practice
Dental Providers
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Taxonomy code 1223G0001X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Dentist (California)
- 110095
Practice Locations
Practice Location
972 Goodrich Blvd
Commerce, California 90022-4114
Phone: (818) 306-7150
Additional Practice Location
3292 Peoria St
Aurora, Colorado 80010-1517
Phone: (303) 360-6276
Fax: (303) 789-7222
Additional Practice Location
17866 Cottonwood Dr
Parker, Colorado 80134-3924
Phone: (303) 360-6276
Fax: (303) 789-7222
Additional Practice Location
301 W 6th Ave
Denver, Colorado 80204-5182
Phone: (303) 436-6000
Additional Practice Location
3494 Eagle Blvd
Brighton, Colorado 80601-7403
Phone: (818) 306-7150
Record Information
- Enumeration Date
- March 31, 2021
- Provider's NPPES Record Last Updated
- April 1, 2025
- Certification Date
- April 1, 2025
- NPISignal NPPES Dataset
- August 2026
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