DR. PAUL SUNG JUN KIM DMD
NPI 1114505138
Dentist - General Practice in Commerce, CA

Active since March 31, 2021PECOS Enrolled
972 GOODRICH BLVD, COMMERCE, CA 90022(818) 306-7150 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2025, Jan 6, 2023, Jul 11, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Paul Sung Jun Kim Dmd NPPES

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

DR. PAUL SUNG JUN KIM DMD (NPI 1114505138) is an individual general practice provider in Commerce, California, licensed in California (110095) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114505138
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PAUL SUNG JUN KIMCredential: DMD
Location Address972 GOODRICH BLVDCommerce, CA 90022-4114
Mailing Address972 Goodrich BlvdCommerce, CA 90022-4114 · (818) 306-7150 · Fax (303) 343-0247
Sole ProprietorYes
Enumeration DateMarch 31, 2021
Last NPPES UpdateApril 1, 20254 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1114505138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 110095
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.

972 GOODRICH BLVD, Commerce, CA 90022

Secondary Practice Locations 4

Location 13292 Peoria StAurora, CO 80010-1517 · Phone (303) 360-6276 · Fax (303) 789-7222
Location 23494 Eagle BlvdBrighton, CO 80601-7403 · Phone (818) 306-7150
Location 3301 W 6th AveDenver, CO 80204-5182 · Phone (303) 436-6000
Location 417866 Cottonwood DrParker, CO 80134-3924 · Phone (303) 360-6276 · Fax (303) 789-7222

Accepted 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. Paul Sung Jun Kim Dmd 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 90022 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 10

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

Family Medicine
972 GOODRICH BLVD
COMMERCE, CA 90022
Dietitian, Registered
972 GOODRICH BLVD
COMMERCE, CA 90022
Social Worker (Clinical)
972 GOODRICH BLVD
COMMERCE, CA 90022
Case Manager/Care Coordinator
972 GOODRICH BLVD
COMMERCE, CA 90022
Family Medicine (Sports Medicine)
972 GOODRICH BLVD
COMMERCE, CA 90022
Dietitian, Registered
972 GOODRICH BLVD
COMMERCE, CA 90022
Dentist
972 GOODRICH BLVD
COMMERCE, CA 90022
Case Manager/Care Coordinator
972 GOODRICH BLVD
COMMERCE, CA 90022

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 Paul Kim's NPI number?

The NPI number for Paul Kim is 1114505138. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Paul Kim located?

Paul Kim practices at 972 Goodrich Blvd, Commerce, CA 90022. The listed phone number is (818) 306-7150.

What is Paul Kim's specialty?

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

Is Paul Kim enrolled in Medicare?

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

What insurance does Paul Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Paul 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 Paul Kim was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.