P Praxis·MD
● Active Type 1 · Individual

MR. Jinsoo Kim, DDS

Dentist·Richardson, TX· NPI 1316019995 · Enumerated 2006 · 19 years on NPI
Kim is 1 of 3 dentist providers in Richardson and 1 of 64 in Texas.
NPI age
19 years
Enumerated 2006-11-15
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
TX, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-04-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 64 active dentist providers in Texas.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 53% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
4112 E Renner Rd
Richardson, TX 750822832
📞 9724800800fax 9724800900
Mailing address
7505 Vineyard Trl
Garland, TX 750442105
📞 2533944186fax 8885022615

Specialties

  • Dentist Primary
    A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental...
    TX license #28856 taxonomy 1223D0004X
  • Dentist
    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.
    WA license #10618 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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