Doctor profile · Federal record
Dr. Kelly Kim, D.D.S
Pediatric Dentist · Pediatric Dentist · Laguna Niguel, CA
- NPI 1053625715
- 16 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
30001 Crown Valley Pkwy, Suite G
Laguna Niguel, CA 926771723
(949) 495-4245
Credentials & registration
- NPI registered
- August 2010 — 16 yrs on file
- Profile last updated
- June 16, 2011
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- California #58075 · New York #055114
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053625715. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$131
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 2 | $130.98 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Kim's medical specialty?
Dr. Kelly Kim practices Pediatric Dentist in Laguna Niguel, CA.
Where does Dr. Kelly Kim practice?
Dr. Kelly Kim practices at 30001 Crown Valley Pkwy, Laguna Niguel, CA 926771723. Office phone: 9494954245.
What is Dr. Kelly Kim's NPI?
Dr. Kelly Kim's National Provider Identifier (NPI) is 1053625715, issued by NPPES.