P Praxis·MD
● Active Type 1 · Individual

DR. Soo Bin Kim, MS, DDS, PA

Dentist·San Antonio, TX· NPI 1376578260 · Enumerated 2006 · 19 years on NPI
Kim is 1 of 1100 dentist providers in San Antonio and 1 of 15661 in Texas.
NPI age
19 years
Enumerated 2006-07-11
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
14855 Blanco Rd Ste 413
San Antonio, TX 782167731
📞 2104937506fax 2104937048
Mailing address
15003 Rio Rancho Way
Helotes, TX 780234714
📞 4043546787

Specialties

  • Dentist Primary
    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.
    TX license #21422 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (TX) 21422 DENTIST LICENSE
05 (TX) 164876801
01 (AZ) D008391 DENTIST LICENSE

Practice context

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

Recently enumerated nearby: 7 new dentist providers have been added in San Antonio in the last 180 days. See all →
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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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