NA HYUN KIM
NPI 1215508312
Dentist in West Roxbury, MA

Q: What is Na Hyun Kim's NPI number?

The NPI number for Na Hyun Kim is 1215508312. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Q: What is Na Hyun Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Na Hyun Kim was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 08, 2021PECOS Enrolled

75 SPRING ST STE 100, WEST ROXBURY, MA 02132(857) 353-5103 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2024, Jul 8, 2021 (2 updates tracked since 2021).

On this page

About Na Hyun Kim NPPES

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

NA HYUN KIM (NPI 1215508312) is an individual dentist in West Roxbury, Massachusetts, licensed in Massachusetts (DEN10000164) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215508312

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameNA HYUN KIM

Location Address75 SPRING ST STE 100West Roxbury, MA 02132-4335

Mailing Address22 Strawberry AveLewiston, ME 04240-5961 · (207) 782-0670

Phone(857) 353-5103

Sole ProprietorYes

Enumeration DateJuly 8, 2021

Last NPPES UpdateJune 23, 20242 updates tracked since enumeration

NPPES CertifiedJune 23, 2024

✔ NPI 1215508312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in MA · DEN10000164✔ Licensed in ME · DEN4889

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.

75 SPRING ST STE 100, West Roxbury, MA 02132

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life 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)

Na Hyun 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 02132 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 Na Hyun Kim's NPI number?

The NPI number for Na Hyun Kim is 1215508312. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Na Hyun Kim located?

Na Hyun Kim practices at 75 Spring St Ste 100, West Roxbury, MA 02132. The listed phone number is (857) 353-5103.

What is Na Hyun Kim's specialty?

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

Is Na Hyun Kim enrolled in Medicare?

Yes. Na Hyun Kim is registered in the Medicare PECOS enrollment system.

What insurance does Na Hyun Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Na Hyun 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 Na Hyun Kim was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.