DR. PAUL SUNG JUN KIM DMD
NPI 1114505138
Dentist - General Practice in Commerce, CA
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
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Paul Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, CO 80228
- Reassigned Medicare billing, Colorado enrollment
- 125 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Paul Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kim reassigns Medicare benefits to Metro Community Provider Network Inc (Lakewood, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Kim accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Paul Sung Jun Kim, DMD · NPI 1114505138
General Practice provider in Commerce, California. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1114505138 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 110095 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 972 GOODRICH BLVD, Commerce, CA 90022-4114
- **Phone:** (818) 306-7150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Metro Community Provider Network Inc (NPI 1114213972, Lakewood, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114505138) · Data from the CMS NPPES public registry.