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JOSEPH J. KIM
NPI 1154962884
Dentist - Periodontics in Palm Desert, CA

Active since October 03, 2019Opted out of Medicare · through Jan 4, 2027
72415 PARKVIEW DR, PALM DESERT, CA 92260(760) 568-5192 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph J. Kim NPPES

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

JOSEPH J. KIM (NPI 1154962884) is an individual periodontics provider in Palm Desert, California, licensed in California (103685) and active in the NPI registry since October 2019. He has opted out of Medicare through January 4, 2027.

NPPES Registry Identity

NPI1154962884
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameJOSEPH J. KIM
Location Address72415 PARKVIEW DRPalm Desert, CA 92260-2779
Mailing Address35948 Michelle LnBeaumont, CA 92223-1649 · (909) 430-1973
Phone(760) 568-5192
Sole ProprietorYes
Enumeration DateOctober 3, 2019
✔ NPI 1154962884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 103685
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
72415 PARKVIEW DR, Palm Desert, CA 92260
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Joseph J. Kim 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 January 4, 2023 through January 4, 2027.

Opt-Out Effective DateJanuary 4, 2023
Opt-Out In Effect ThroughJanuary 4, 2027Opt-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 92260 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 4

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

JOSEPH J. KIM, DDS, INC.
Dentist (Periodontics)
72415 PARKVIEW DR
PALM DESERT, CA 92260
Riverside County (760) 568-5928
DR. ROBERT ROWLEY MCLACHLAN D.D.S.
Dentist (Prosthodontics)
72415 PARKVIEW DR
PALM DESERT, CA 92260
Riverside County (760) 568-5928
MIRANDA KORE DDS
Dentist
72415 PARKVIEW DR
PALM DESERT, CA 92260
Riverside County (760) 568-5928
JEFFREY TOM DDS INC
Dentist
72415 PARKVIEW DR
PALM DESERT, CA 92260
Riverside County (760) 568-5928

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 Joseph Kim's NPI number?

The NPI number for Joseph Kim is 1154962884. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Joseph Kim located?

Joseph Kim practices at 72415 Parkview Dr, Palm Desert, CA 92260. The listed phone number is (760) 568-5192.

What is Joseph Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Joseph Kim enrolled in Medicare?

No. Joseph Kim has opted out of Medicare through January 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Joseph Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Joseph 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 Joseph Kim was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.