JENNIFER DASOL KIM DDS
NPI 1215513221
Dentist - Pediatric Dentistry in Fairlawn, OH

Active since March 20, 2021PECOS Enrolled
3523 COMMERCIAL DR, FAIRLAWN, OH 44333(330) 577-5774 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, Mar 20, 2021 (2 updates tracked since 2021).

About Jennifer Dasol Kim Dds NPPES

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

JENNIFER DASOL KIM DDS (NPI 1215513221) is an individual pediatric dentistry provider in Fairlawn, Ohio, licensed in Ohio (30.026918) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215513221
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJENNIFER DASOL KIMCredential: DDS
Location Address3523 COMMERCIAL DRFairlawn, OH 44333-5107
Mailing Address15 Stridesham CtBaltimore, MD 21209-5301 · (410) 978-1004
Sole ProprietorNo
Enumeration DateMarch 20, 2021
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 5, 2023
NPI 1215513221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in OH · 30.026918
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.
3523 COMMERCIAL DR, Fairlawn, OH 44333

Accepted 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)

Jennifer Dasol 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 44333 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 9

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

Dentist (Pediatric Dentistry)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Dentist (General Practice)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Dentist (Pediatric Dentistry)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Dentist (Pediatric Dentistry)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Dentist (Pediatric Dentistry)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Dentist (Pediatric Dentistry)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Clinic/Center (Dental)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333
Dentist (Pediatric Dentistry)
3523 COMMERCIAL DR
FAIRLAWN, OH 44333

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1215513221. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Jennifer Kim located?

Jennifer Kim practices at 3523 Commercial Dr, Fairlawn, OH 44333. The listed phone number is (330) 577-5774.

What is Jennifer Kim's specialty?

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

Is Jennifer Kim enrolled in Medicare?

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

What insurance does Jennifer Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross and Blue Shield of Montana and 10 other insurers list Jennifer 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 Jennifer Kim was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.