DR. SOOMIN RICHARD KIM DDS, MPH
NPI 1083814784
Dentist in Irving, TX

Q: What is Soomin Kim's NPI number?

The NPI number for Soomin Kim is 1083814784. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Q: What is Soomin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soomin Kim was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 20, 2007PECOS Enrolled

6423 ESCENA BLVD UNIT 1070, IRVING, TX 75039(213) 999-7177 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Soomin Richard Kim Dds, Mph NPPES

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

DR. SOOMIN RICHARD KIM DDS, MPH (NPI 1083814784) is an individual dentist in Irving, Texas, licensed in Texas (23450) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083814784

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SOOMIN RICHARD KIMCredential: DDS, MPH

Location Address6423 ESCENA BLVD UNIT 1070Irving, TX 75039-4268

Mailing Address6423 Escena Blvd #1070Irving, TX 75039-3159 · (213) 999-7177

Phone(213) 999-7177

Sole ProprietorYes

Enumeration DateJuly 20, 2007

Last NPPES UpdateAugust 27, 2012

✔ NPI 1083814784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in TX · 23450✔ Licensed in CA · 56019

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.

6423 ESCENA BLVD UNIT 1070, Irving, TX 75039

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Soomin Richard Kim Dds, Mph 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 75039 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

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 Soomin Kim's NPI number?

The NPI number for Soomin Kim is 1083814784. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Soomin Kim located?

Soomin Kim practices at 6423 Escena Blvd Unit 1070, Irving, TX 75039. The listed phone number is (213) 999-7177.

What is Soomin Kim's specialty?

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

Is Soomin Kim enrolled in Medicare?

Yes. Soomin Kim is registered in the Medicare PECOS enrollment system.

What insurance does Soomin Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Soomin Kim 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 Soomin Kim was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.