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DR. SOONKI KIM DDS
NPI 1225151186
Dentist - General Practice in Dallas, TX

Active since April 07, 2007PECOS Enrolled
2216 ROYAL LN STE 115, DALLAS, TX 75229(972) 243-0365(972) 247-0898 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Soonki Kim Dds NPPES

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

DR. SOONKI KIM DDS (NPI 1225151186) is an individual general practice provider in Dallas, Texas, licensed in Texas (23100) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225151186
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SOONKI KIMCredential: DDS
Location Address2216 ROYAL LN STE 115Dallas, TX 75229-7827
Mailing Address2216 Royal Ln Ste 115Dallas, TX 75229-7827 · (972) 243-0365 · Fax (972) 247-0898
Phone(972) 243-0365
Fax(972) 247-0898
Sole ProprietorYes
Enumeration DateApril 7, 2007
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1225151186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 23100
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 23100 (TX)
2216 ROYAL LN STE 115, Dallas, TX 75229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Soonki 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.

Medicare Billing Reassignment

Medicare enrollment records show Soonki Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr. Kim's Dental, Inc
Same address
General Practice
2216 ROYAL LN, 115
Dallas, TX 75229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dr Kims Dental Inc
NPI 1649593971 (972) 243-0365

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75229 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Soonki Kim's NPI number?

The NPI number for Soonki Kim is 1225151186. It was assigned to this individual provider in the NPPES registry on April 7, 2007.

Where is Soonki Kim located?

Soonki Kim practices at 2216 Royal Ln Ste 115, Dallas, TX 75229. The listed phone number is (972) 243-0365.

What is Soonki Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Soonki Kim enrolled in Medicare?

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

Which organization bills Medicare for Soonki Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soonki Kim reassigns Medicare benefits to Dr. Kim's Dental, Inc (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soonki Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soonki Kim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 23 other insurers list Soonki 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 Soonki Kim was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.