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DR. JOSHUA KIM D.D.S.
NPI 1205145489
Dentist in Beaverton, OR

Active since October 05, 2010PECOS Enrolled
10773 SW BEAVERTON HILLSDALE HWY STE B, BEAVERTON, OR 97005(503) 828-0928 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2022, Apr 5, 2019 (2 updates tracked since 2019).

About Dr. Joshua Kim D.d.s. NPPES

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

DR. JOSHUA KIM D.D.S. (NPI 1205145489) is an individual dentist in Beaverton, Oregon, licensed in Oregon (D10129) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205145489
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOSHUA KIMCredential: D.D.S.
Location Address10773 SW BEAVERTON HILLSDALE HWY STE BBeaverton, OR 97005-3010
Mailing Address10773 Sw Beaverton Hillsdale HwyBeaverton, OR 97005-3010 · (503) 828-0928
Phone(503) 828-0928
Sole ProprietorYes
Enumeration DateOctober 5, 2010
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1205145489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · D10129
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.
10773 SW BEAVERTON HILLSDALE HWY STE B, Beaverton, OR 97005
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. Joshua Kim D.d.s. 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 97005 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.

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 Joshua Kim's NPI number?

The NPI number for Joshua Kim is 1205145489. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Joshua Kim located?

Joshua Kim practices at 10773 SW Beaverton Hillsdale Hwy Ste B, Beaverton, OR 97005. The listed phone number is (503) 828-0928.

What is Joshua Kim's specialty?

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

Is Joshua Kim enrolled in Medicare?

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

What insurance does Joshua Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 6 other insurers list Joshua 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 Joshua Kim was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.