DR. ERIC KUN KIM DDS
NPI 1124627757
Dentist in Vancouver, WA

Q: What is Eric Kim's NPI number?

The NPI number for Eric Kim is 1124627757. It was assigned to this individual provider in the NPPES registry on October 24, 2020.

Q: What is Eric Kim's specialty?

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

Q: Is Eric Kim enrolled in Medicare?

No. Eric Kim has opted out of Medicare through June 2, 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 Eric Kim was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 24, 2020Opted out of Medicare · through Jun 2, 2028

300 SE 120TH AVE STE 500, VANCOUVER, WA 98683(360) 254-8151 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2023, Jul 7, 2022, Oct 28, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Eric Kun Kim Dds NPPES

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

DR. ERIC KUN KIM DDS (NPI 1124627757) is an individual dentist in Vancouver, Washington, licensed in Washington (61100349) and active in the NPI registry since October 2020. He has opted out of Medicare through June 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124627757

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ERIC KUN KIMCredential: DDS

Location Address300 SE 120TH AVE STE 500Vancouver, WA 98683-4020

Mailing Address300 Se 120th Ave Ste 500Vancouver, WA 98683-4020 · (360) 254-8151

Phone(360) 254-8151

Sole ProprietorNo

Enumeration DateOctober 24, 2020

Last NPPES UpdateOctober 22, 20254 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1124627757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in WA · 61100349✔ Licensed in MA · DL15521

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.

300 SE 120TH AVE STE 500, Vancouver, WA 98683

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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

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Opted out of Medicare

Dr. Eric Kun Kim Dds 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 June 2, 2026 through June 2, 2028.

Opt-Out Effective DateJune 2, 2026

Opt-Out In Effect ThroughJune 2, 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 98683 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 2

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

PERIODONTAL CONCEPTS

Dentist (Periodontics)

300 SE 120TH AVE STE 500
VANCOUVER, WA 98683

Clark County (360) 254-8151

DR. MUNIB Y. DERHALLI D.M.D.

Dentist (Periodontics)

300 SE 120TH AVE STE 500
VANCOUVER, WA 98683

Clark County (360) 254-8151

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 Eric Kim's NPI number?

The NPI number for Eric Kim is 1124627757. It was assigned to this individual provider in the NPPES registry on October 24, 2020.

Where is Eric Kim located?

Eric Kim practices at 300 SE 120th Ave Ste 500, Vancouver, WA 98683. The listed phone number is (360) 254-8151.

What is Eric Kim's specialty?

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

Is Eric Kim enrolled in Medicare?

No. Eric Kim has opted out of Medicare through June 2, 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 Eric 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 Dental Health Services and 4 other insurers list Eric 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 Eric Kim was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.