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SEUNGYEON KIM DDS
NPI 1164067153
Dentist - General Practice in Long Island City, NY

Active since November 13, 2019
4310 CRESCENT ST APT 2817, LONG ISLAND CITY, NY 11101(714) 234-8374 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2024, Nov 14, 2019 (2 updates tracked since 2019).

About Seungyeon Kim Dds NPPES

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

SEUNGYEON KIM DDS (NPI 1164067153) is an individual general practice provider in Long Island City, New York, licensed in Texas (41040) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1164067153
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSEUNGYEON KIMCredential: DDS
Location Address4310 CRESCENT ST APT 2817Long Island City, NY 11101-4284
Mailing Address4310 Crescent St Apt 2817Long Island City, NY 11101-4284
Phone(714) 234-8374
Sole ProprietorNo
Enumeration DateNovember 13, 2019
Last NPPES UpdateNovember 30, 20242 updates tracked since enumeration
NPPES CertifiedNovember 30, 2024
✔ NPI 1164067153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 41040✔ Licensed in NY · 062411
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.
4310 CRESCENT ST APT 2817, Long Island City, NY 11101
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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 ›

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 Seungyeon Kim's NPI number?

The NPI number for Seungyeon Kim is 1164067153. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Seungyeon Kim located?

Seungyeon Kim practices at 4310 Crescent St Apt 2817, Long Island City, NY 11101. The listed phone number is (714) 234-8374.

What is Seungyeon Kim's specialty?

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

What insurance does Seungyeon 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 Guardian and 5 other insurers list Seungyeon 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 Seungyeon Kim was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.