Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DONGHWAN KIM DDS
NPI 1164082483
Dentist - Orthodontics and Dentofacial Orthopedics in Sanger, CA

Active since June 18, 2019PECOS Enrolled

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Aug 27, 2020, Jun 18, 2019 (3 updates tracked since 2019).

About Donghwan Kim Dds NPPES

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

DONGHWAN KIM DDS (NPI 1164082483) is an individual orthodontics and dentofacial orthopedics provider in Sanger, California, licensed in California (103804) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164082483
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDONGHWAN KIMCredential: DDS
Location Address1570 7TH STSanger, CA 93657-2402
Mailing Address2940 W Tyler AveVisalia, CA 93291-6567 · (559) 331-9502
Sole ProprietorYes
Enumeration DateJune 18, 2019
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1164082483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 103804
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1570 7TH ST, Sanger, CA 93657

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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)

Donghwan Kim Dds 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 93657 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Family Medicine
1570 7TH ST
SANGER, CA 93657
Nurse Practitioner (Family)
1570 7TH ST
SANGER, CA 93657
Dentist
1570 7TH ST
SANGER, CA 93657
Dentist (General Practice)
1570 7TH ST
SANGER, CA 93657

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 Donghwan Kim's NPI number?

The NPI number for Donghwan Kim is 1164082483. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Donghwan Kim located?

Donghwan Kim practices at 1570 7th St, Sanger, CA 93657. The listed phone number is (800) 492-4227.

What is Donghwan Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Donghwan Kim enrolled in Medicare?

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

What insurance does Donghwan Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Donghwan 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 Donghwan Kim was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.