DR. JONATHAN JUYUN KIM DDS
NPI 1013568294
Dentist - General Practice in Beaverton, OR

Q: What is Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1013568294. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Q: What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kim was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2019PECOS Enrolled

4925 SW GRIFFITH DR, BEAVERTON, OR 97005(855) 433-6825 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2020, Sep 27, 2019 (2 updates tracked since 2019).

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About Dr. Jonathan Juyun Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN JUYUN KIM DDS (NPI 1013568294) is an individual general practice provider in Beaverton, Oregon, licensed in Oregon (D11080) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013568294

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JONATHAN JUYUN KIMCredential: DDS

Location Address4925 SW GRIFFITH DRBeaverton, OR 97005-2923

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6285

Phone(855) 433-6825

Sole ProprietorNo

Enumeration DateSeptember 27, 2019

Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration

NPPES CertifiedJuly 6, 2020

✔ NPI 1013568294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D11080

Definition

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.

4925 SW GRIFFITH DR, Beaverton, OR 97005

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Juyun Kim Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CATHERINE BOM KIM D.M.D.

Dentist