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EONSOO KIM
NPI 1215225701
Dentist - Pediatric Dentistry in Greenville, NC

Active since July 18, 2011PECOS Enrolled
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834(252) 737-7000 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2023, Jan 9, 2017 (2 updates tracked since 2017).

About Eonsoo Kim NPPES

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

EONSOO KIM (NPI 1215225701) is an individual pediatric dentistry provider in Greenville, North Carolina, licensed in North Carolina (13363) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215225701
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameEONSOO KIM
Location Address1851 MACGREGOR DOWNS RDGreenville, NC 27834-5925
Mailing Address1851 Macgregor Downs RdGreenville, NC 27834-5925
Phone(252) 737-7000
Sole ProprietorNo
Enumeration DateJuly 18, 2011
Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1215225701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 13363
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1851 MACGREGOR DOWNS RD, Greenville, NC 27834
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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 NC 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)

Eonsoo Kim 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 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

DR. JOSEPH MATTHEW LAUKAITIS
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (828) 765-0110
DR. STEVAN HAYDEN THOMPSON DDS
Dentist (Oral and Maxillofacial Surgery)
1851 MACGREGOR DOWNS RD, OFFICE # 3111
GREENVILLE, NC 27834
Pitt County (252) 737-7071
BRITNEY NICHOLS
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (252) 737-7000
NIKHIL CHINTALAPUDI
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (252) 737-7000
EVAN ELIER HERNANDEZ
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (252) 737-7000
LAURA BAUZA-DAVILA
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (252) 737-7000
JULIET MARIE BORCHARDT
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (336) 236-0165
BENJAMIN ROSS THOMAS DMD
Student in an Organized Health Care Education/Training Program
1851 MACGREGOR DOWNS RD
GREENVILLE, NC 27834
Pitt County (252) 737-7000

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 Eonsoo Kim's NPI number?

The NPI number for Eonsoo Kim is 1215225701. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Eonsoo Kim located?

Eonsoo Kim practices at 1851 Macgregor Downs Rd, Greenville, NC 27834. The listed phone number is (252) 737-7000.

What is Eonsoo Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Eonsoo Kim enrolled in Medicare?

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

What insurance does Eonsoo Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Eonsoo 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 Eonsoo Kim was last updated on February 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.