Individual provider

Maria Kim, D.D.S.

Oral and Maxillofacial Surgery (Dentist) General Practice Dentistry Medicare enrolled

Maria Kim, D.D.S. is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Chino Hills, CA, registered under NPI 1053778241. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 15911 POMONA RINCON RD STE 120, Chino Hills, CA 91709. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15911 POMONA RINCON RD STE 120, Chino Hills, CA 91709 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
65123 CA Oral and Maxillofacial Surgery (Dentist) primary
65123 CA General Practice Dentistry

This provider holds licence 65123 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Oral Surgery
PAC ID
0446531230
Enrollment ID
I20230829000428

Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223S0112X Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery 65123 CA primary
1223G0001X General Practice Dentistry General Practice 65123 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053778241 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 20, 2016
Last updatedJul 31, 2023
StatusActive
Sole proprietorYes
CredentialD.D.S.
Practice address 15911 POMONA RINCON RD STE 120
Chino Hills, CA 91709
(909) 497-9449
The last update on file is Jul 31, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1053778241 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 7 7 8 2 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 5 7 7 2 8

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053778241?
NPI 1053778241 is the National Provider Identifier assigned to Maria Kim, D.D.S. in Chino Hills, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
How do I contact Maria Kim, D.D.S.?
The phone number on file with NPPES is (909) 497-9449, last updated Jul 31, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Maria Kim, D.D.S. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053778241 a valid number?
Yes. 1053778241 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.