DR. KYEONG HWAN KIM DMD
NPI 1154943785
Dentist - General Practice in Frisco, TX

Q: What is Kyeong Hwan Kim's NPI number?

The NPI number for Kyeong Hwan Kim is 1154943785. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Q: What is Kyeong Hwan 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 Kyeong Hwan Kim was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 18, 2020PECOS Enrolled

5757 WARREN PKWY STE 220, FRISCO, TX 75034(567) 408-9815 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, May 18, 2020 (2 updates tracked since 2020).

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About Dr. Kyeong Hwan Kim Dmd NPPES

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

DR. KYEONG HWAN KIM DMD (NPI 1154943785) is an individual general practice provider in Frisco, Texas, licensed in Texas (38829) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Carrollton.

NPPES Registry Identity

NPI1154943785

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KYEONG HWAN KIMCredential: DMD

Location Address5757 WARREN PKWY STE 220Frisco, TX 75034-4207

Mailing Address4221 Old Denton Rd Apt 6201Carrollton, TX 75010-2332 · (567) 408-9815

Phone(567) 408-9815

Sole ProprietorYes

Enumeration DateMay 18, 2020

Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1154943785 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 TX · 38829

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.

Also ListedDentistTaxonomy 122300000X · License 30.026136 (OH)

5757 WARREN PKWY STE 220, Frisco, TX 75034

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Secondary Practice Location 1

Location 14221 Old Denton Rd Apt 6201Carrollton, TX 75010-2332 · Phone (567) 408-9815

Accepted Insurance

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

✔

Enrolled in Medicare (PECOS)

Dr. Kyeong Hwan 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 75034 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

DTX DENTAL PLLC

Clinic/Center (Dental)

5757 WARREN PKWY STE 220
FRISCO, TX 75034

Denton County (469) 444-1614

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 Kyeong Hwan Kim's NPI number?

The NPI number for Kyeong Hwan Kim is 1154943785. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Kyeong Hwan Kim located?

Kyeong Hwan Kim practices at 5757 Warren Pkwy Ste 220, Frisco, TX 75034. The listed phone number is (567) 408-9815.

What is Kyeong Hwan Kim's specialty?

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

Is Kyeong Hwan Kim enrolled in Medicare?

Yes. Kyeong Hwan Kim is registered in the Medicare PECOS enrollment system.

What insurance does Kyeong Hwan Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 3 other insurers list Kyeong Hwan 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 Kyeong Hwan Kim was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.