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DONGHWAN KIM DDS
NPI 1164082483
Dentist - General Practice in Sanger, CA

Active since June 18, 2019PECOS Enrolled

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2020, Jun 18, 2019 (2 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 general practice 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 Taxonomy1223G0001X
Provider Legal NameDONGHWAN KIMCredential: DDS
Location Address1570 7TH STSanger, CA 93657-2402
Mailing Address2940 W Tyler AveVisalia, CA 93291-6567 · (559) 331-9502
Phone(800) 492-4227
Sole ProprietorYes
Enumeration DateJune 18, 2019
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1164082483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 103804
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.
1570 7TH ST, Sanger, CA 93657
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

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.

AANDLEEB SINGH
Family Medicine
1570 7TH ST
SANGER, CA 93657
Fresno County (800) 492-4227
VARINDER KAUR
Nurse Practitioner (Family)
1570 7TH ST
SANGER, CA 93657
Fresno County (800) 492-4227
DR. MITSU PATEL
Dentist
1570 7TH ST
SANGER, CA 93657
Fresno County (559) 875-0557
DR. CIA M BROOKS DDS
Dentist (General Practice)
1570 7TH ST
SANGER, CA 93657
Fresno County (559) 513-8117

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 General Practice, with taxonomy code 1223G0001X.

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 August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.