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RACHEL HAESU KIM DMD
NPI 1184351439
Dentist in Portland, OR

Active since August 05, 2022PECOS Enrolled
9151 SE WOODSTOCK BLVD, PORTLAND, OR 97266(503) 433-2414 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Aug 5, 2022 (2 updates tracked since 2022).

About Rachel Haesu Kim Dmd NPPES

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

RACHEL HAESU KIM DMD (NPI 1184351439) is an individual dentist in Portland, Oregon, licensed in Oregon (D11673) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184351439
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameRACHEL HAESU KIMCredential: DMD
Location Address9151 SE WOODSTOCK BLVDPortland, OR 97266-5369
Mailing Address14169 Se Apple CtHappy Valley, OR 97086-3307 · (503) 680-5686
Phone(503) 433-2414
Sole ProprietorNo
Enumeration DateAugust 5, 2022
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1184351439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D11673
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9151 SE WOODSTOCK BLVD, Portland, OR 97266
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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)

Rachel Haesu 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 97266 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 2

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

DR. MINH QUANG HOANG D.M.D.
Dentist (General Practice)
9151 SE WOODSTOCK BLVD
PORTLAND, OR 97266
Multnomah County (503) 433-2414
DIANE PHAN LEE RDH
Dental Hygienist
9151 SE WOODSTOCK BLVD
PORTLAND, OR 97266
Multnomah County (503) 433-2414

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 Rachel Kim's NPI number?

The NPI number for Rachel Kim is 1184351439. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Rachel Kim located?

Rachel Kim practices at 9151 SE Woodstock Blvd, Portland, OR 97266. The listed phone number is (503) 433-2414.

What is Rachel Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Rachel Kim enrolled in Medicare?

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

What insurance does Rachel 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, BridgeSpan Health Company and Delta Dental Plan of Oregon and 3 other insurers list Rachel 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 Rachel Kim was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.