DR. TED TAE YUL IM DDS
NPI 1114083193
Dentist in Moreno Valley, CA

Q: What is Ted Im's NPI number?

The NPI number for Ted Im is 1114083193. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Ted Im'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 Ted Im was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 28, 2006

23205 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553(951) 242-6242(951) 242-4782 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ted Tae Yul Im Dds NPPES

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

DR. TED TAE YUL IM DDS (NPI 1114083193) is an individual dentist in Moreno Valley, California, licensed in California (40950) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1114083193

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TED TAE YUL IMCredential: DDS

Location Address23205 SUNNYMEAD BLVDMoreno Valley, CA 92553-5246

Mailing Address23205 Sunnymead BlvdMoreno Valley, CA 92553-5246 · (951) 242-6242 · Fax (951) 242-4782

Phone(951) 242-6242

Fax(951) 242-4782

Sole ProprietorNo

Enumeration DateDecember 28, 2006

Last NPPES UpdateSeptember 19, 2016

✔ NPI 1114083193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 40950

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.

23205 SUNNYMEAD BLVD, Moreno Valley, CA 92553

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Other Identifiers 1

MedicaidD40950CA

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 ›

Other Providers at the Same Location NPPES

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

TED T. IM, DDS, INC.

Dentist (General Practice)

23205 SUNNYMEAD BLVD
MORENO VALLEY, CA 92553

Riverside County (951) 242-6242

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 Ted Im's NPI number?

The NPI number for Ted Im is 1114083193. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Ted Im located?

Ted Im practices at 23205 Sunnymead Blvd, Moreno Valley, CA 92553. The listed phone number is (951) 242-6242.

What is Ted Im's specialty?

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

What insurance does Ted Im 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 5 other insurers list Ted Im 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 Ted Im was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.