SHIN JOSEPH KIM D.D.S.
NPI 1154645661
Dentist - Oral and Maxillofacial Surgery in Camp Pendleton, CA

Q: What is Shin Kim's NPI number?

The NPI number for Shin Kim is 1154645661. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Q: What is Shin Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Shin Kim was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 26, 2010PECOS Enrolled

13128 14TH STREET, CAMP PENDLETON, CA 92058(760) 763-1126 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2022, Nov 5, 2020, Mar 30, 2016 (3 updates tracked since 2016).

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About Shin Joseph Kim D.d.s. NPPES

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

SHIN JOSEPH KIM D.D.S. (NPI 1154645661) is an individual oral and maxillofacial surgery provider in Camp Pendleton, California, licensed in Florida (DN28761) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154645661

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameSHIN JOSEPH KIMCredential: D.D.S.

Location Address13128 14TH STREETCamp Pendleton, CA 92058

Mailing Address1234 Bellingham DrOceanside, CA 92057-2723 · (818) 523-7253

Phone(760) 763-1126

Sole ProprietorNo

Enumeration DateMarch 26, 2010

Last NPPES UpdateJanuary 19, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2024

✔ NPI 1154645661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in FL · DN28761✔ Licensed in CA · DDS107230

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 7764010-9921-2014040 (UT)

13128 14TH STREET, Camp Pendleton, CA 92058

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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)

Shin Joseph 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 92058 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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

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

CYNTHIA KNODE RDA

Dental Assistant

13128 14TH STREET
OCEANSIDE, CA 92058

San Diego County (760) 725-5870

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 Shin Kim's NPI number?

The NPI number for Shin Kim is 1154645661. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Shin Kim located?

Shin Kim practices at 13128 14th Street, Camp Pendleton, CA 92058. The listed phone number is (760) 763-1126.

What is Shin Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Shin Kim enrolled in Medicare?

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

What insurance does Shin Kim accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Shin 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 Shin Kim was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.