DR. JUSTIN E KIM D.D.S.
NPI 1114348265
Dentist - General Practice in Loma Linda, CA

Q: What is Justin Kim's NPI number?

The NPI number for Justin Kim is 1114348265. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Q: What is Justin 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 Justin Kim was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 16, 2013PECOS Enrolled

11140 MESQUITE AVE, LOMA LINDA, CA 92354(408) 710-8121 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Justin E Kim D.d.s. NPPES

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

DR. JUSTIN E KIM D.D.S. (NPI 1114348265) is an individual general practice provider in Loma Linda, California, licensed in California (63093) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114348265

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JUSTIN E KIMCredential: D.D.S.

Location Address11140 MESQUITE AVELoma Linda, CA 92354-6556

Mailing Address11140 Mesquite AveLoma Linda, CA 92354-6556 · (408) 710-8121

Phone(408) 710-8121

Sole ProprietorYes

Enumeration DateDecember 16, 2013

✔ NPI 1114348265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 63093

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.

11140 MESQUITE AVE, Loma Linda, CA 92354

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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. Justin E Kim 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 92354 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 Justin Kim's NPI number?

The NPI number for Justin Kim is 1114348265. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Justin Kim located?

Justin Kim practices at 11140 Mesquite Ave, Loma Linda, CA 92354. The listed phone number is (408) 710-8121.

What is Justin Kim's specialty?

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

Is Justin Kim enrolled in Medicare?

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

What insurance does Justin Kim 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 Justin 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 Justin Kim was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.