PETER H KIM D.D.S.
NPI 1093858318
Dentist - Oral and Maxillofacial Surgery in Arlington, WA

Q: What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1093858318. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Q: What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Peter Kim enrolled in Medicare?

No. Peter Kim has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 15, 2007Opted out of Medicare · through May 9, 2028

16410 SMOKEY POINT BLVD, SUITE 103, ARLINGTON, WA 98223(360) 651-1359(360) 659-1275 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter H Kim D.d.s. NPPES

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

PETER H KIM D.D.S. (NPI 1093858318) is an individual oral and maxillofacial surgery provider in Arlington, Washington, licensed in Washington (DE00008656) and active in the NPI registry since February 2007. He has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093858318

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NamePETER H KIMCredential: D.D.S.

Location Address16410 SMOKEY POINT BLVD, SUITE 103Arlington, WA 98223-8415

Mailing Address16410 Smokey Point Blvd, Suite 103Arlington, WA 98223-8415 · (360) 651-1359 · Fax (360) 659-1275

Phone(360) 651-1359

Fax(360) 659-1275

Sole ProprietorNo

Enumeration DateFebruary 15, 2007

Last NPPES UpdateJuly 9, 2007

✔ NPI 1093858318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in WA · DE00008656✔ Licensed in WA · GA10000282

Definition

An oral and maxillofacial surgery dentist specialized in 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.

16410 SMOKEY POINT BLVD, Arlington, WA 98223

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Other Identifiers 4

Medicaid5034640WA

Medicare ID-Type UnspecifiedAB38711WA · Medicare Indivdual Provid

Medicare UPINU96195WA

Other141618WA · Labor & Industries

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Peter H Kim D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2012 through May 9, 2028.

Opt-Out Effective DateMay 9, 2012

Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98223 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 12

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

KINCAID, MCCLARY & KIM D.D.S, P.S.

Dentist (Oral and Maxillofacial Surgery)

16410 SMOKEY POINT BLVD, SUITE 103
ARLINGTON, WA 98223

Snohomish County (360) 658-8822

ALAN D ERICKSON D.D.S.

Dentist

16410 SMOKEY POINT BLVD, STE 107
ARLINGTON, WA 98223

Snohomish County (360) 322-6934

ALAN D. ERICKSON, D.D.S., P.S.

Dentist (General Practice)

16410 SMOKEY POINT BLVD, SUITE 107
ARLINGTON, WA 98223

Snohomish County (360) 322-6934

DR. JUDY SMITH KANDEL OD

Optometrist

16410 SMOKEY POINT BLVD, #101
ARLINGTON, WA 98223

Snohomish County (360) 653-8711

MRS. LAUREEN SHERSON LMP

Massage Therapist

16410 SMOKEY POINT BLVD, SUITE #303
ARLINGTON, WA 98223

Snohomish County (360) 631-6890

DAVID A DUNNINGTON MD

Family Medicine

16410 SMOKEY POINT BLVD, SUITE 101
ARLINGTON, WA 98223

Snohomish County (360) 659-4440

DR. DANIEL THOMAS BRADY DDS

Dentist (Oral and Maxillofacial Surgery)

16410 SMOKEY POINT BLVD, SUITE 103
ARLINGTON, WA 98223

Snohomish County (360) 658-8822

DR. KEVIN ARTHUR HARRISON DDS

Dentist

16410 SMOKEY POINT BLVD, SUITE 305
ARLINGTON, WA 98223

Snohomish County (360) 653-7654

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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1093858318. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Peter Kim located?

Peter Kim practices at 16410 Smokey Point Blvd Suite 103, Arlington, WA 98223. The listed phone number is (360) 651-1359.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Peter Kim enrolled in Medicare?

No. Peter Kim has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Peter Kim accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Peter 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 Peter Kim was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.