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DR. JIN SONG D.D.S.
NPI 1023456753
Dentist in Kennewick, WA

Active since June 04, 2013PECOS Enrolled
2611 S QUILLAN PL STE 110, KENNEWICK, WA 99338(509) 585-5437 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jin Song D.d.s. NPPES

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

DR. JIN SONG D.D.S. (NPI 1023456753) is an individual dentist in Kennewick, Washington, licensed in Washington (DE61516940) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023456753
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JIN SONGCredential: D.D.S.
Location Address2611 S QUILLAN PL STE 110Kennewick, WA 99338-1899
Mailing Address2611 S Quillan Pl Ste 110Kennewick, WA 99338-1899 · (509) 585-5437
Phone(509) 585-5437
Sole ProprietorNo
Enumeration DateJune 4, 2013
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1023456753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WA · DE61516940✔ Licensed in TX · 29005
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License DE61516940 (WA)
2611 S QUILLAN PL STE 110, Kennewick, WA 99338
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Other Names 1

Other Name (5)Jin Ha Sung

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Jin Song D.d.s. 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 99338 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 6

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

YAKIM VALLEY FARM WORKERS CLINIC
Clinic/Center (Dental)
2611 S QUILLAN PL STE 110
KENNEWICK, WA 99338
Benton County (509) 865-6175
DR. ABDULLAH ALKANAN BDS
Dentist (Periodontics)
2611 S QUILLAN PL STE 110
KENNEWICK, WA 99338
Benton County (509) 585-5437
DR. JOEL DALE JACOBS DMD
Dentist
2611 S QUILLAN PL STE 110
KENNEWICK, WA 99338
Benton County (509) 585-5437
DR. YIYU JADE FANG D.D.S, PHD
Dentist
2611 S QUILLAN PL STE 110
KENNEWICK, WA 99338
Benton County (509) 585-5437
DR. DAVID E GROW DDS
Dentist
2611 S QUILLAN PL STE 110
KENNEWICK, WA 99338
Benton County (509) 585-5437
JENNIFER MIRANDA DOMAGALSKI DMD
Dentist
2611 S QUILLAN PL STE 110
KENNEWICK, WA 99338
Benton County (509) 585-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jin Song's NPI number?

The NPI number for Jin Song is 1023456753. It was assigned to this individual provider in the NPPES registry on June 4, 2013. The provider is also known as Jin Ha Sung.

Where is Jin Song located?

Jin Song practices at 2611 S Quillan Pl Ste 110, Kennewick, WA 99338. The listed phone number is (509) 585-5437.

What is Jin Song's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jin Song enrolled in Medicare?

Yes. Jin Song is registered in the Medicare PECOS enrollment system.

What insurance does Jin Song accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Jin Song as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jin Song was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.