Individual Healthcare Provider
Sooyoung Kim, DMD
Provider's NPPES record last updated: July 23, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1578838454
- Primary Specialty
- Dentist — Endodontics
- Practice Location
- Mountain View, California
- Sole Proprietor
- No
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 21, 2026, 7:14 PM 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
Endodontics
Dental Providers
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Taxonomy code 1223E0200X Dentist
Dental Providers
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Taxonomy code 122300000X
Provider-Reported License Information
- Dentist (California)
- 59907
- Dentist (California)
- 59907
Practice Locations
Practice Location
505 South Dr Ste 10
Mountain View, California 94040-4210
Phone: (650) 964-1300
Additional Practice Location
1895 Mowry Ave Ste 102
Fremont, California 94538-1766
Phone: (510) 795-1661
Additional Practice Location
114 5th Ave
Redwood City, California 94063-3604
Phone: (650) 839-1447
Additional Practice Location
5353 Almaden Plaza Way
#45
San Jose, California 95118
Phone: (408) 266-4690
Additional Practice Location
20445 Prospect Rd Ste 6
San Jose, California 95129-4663
Phone: (408) 878-4173
Additional Practice Location
5150 Graves Ave Ste 11d
San Jose, California 95129-5014
Phone: (408) 255-0033
Additional Practice Location
1725 Berryessa Rd Ste B
San Jose, California 95133-1173
Phone: (408) 259-2901
Additional Practice Location
581 Foster City Blvd
Foster City, California 94404-1695
Phone: (650) 286-9999
Record Information
- Enumeration Date
- March 12, 2012
- Provider's NPPES Record Last Updated
- July 23, 2023
- Certification Date
- July 23, 2023
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue