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HEIDI HYE WON KIM DMD
NPI 1245065309
Dentist in North Las Vegas, NV

Active since September 06, 2024PECOS Enrolled
1820 E CRAIG RD STE 102, NORTH LAS VEGAS, NV 89030(702) 680-1009 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Sep 6, 2024 (2 updates tracked since 2024).

About Heidi Hye Won Kim Dmd NPPES

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

HEIDI HYE WON KIM DMD (NPI 1245065309) is an individual dentist in North Las Vegas, Nevada, licensed in Nevada (8014) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1245065309
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameHEIDI HYE WON KIMCredential: DMD
Location Address1820 E CRAIG RD STE 102North Las Vegas, NV 89030-3321
Mailing Address1001 Shadow LnLas Vegas, NV 89106-4124
Phone(702) 680-1009
Sole ProprietorNo
Enumeration DateSeptember 6, 2024
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1245065309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NV · 8014
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1820 E CRAIG RD STE 102, North Las Vegas, NV 89030
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Secondary Practice Location 1

Location 11001 Shadow LnLas Vegas, NV 89106-4124 · Phone (702) 774-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, 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)

Heidi Hye Won Kim Dmd 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 89030 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 2

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

WONKYU SEO DDS
Dentist (General Practice)
1820 E CRAIG RD STE 102
NORTH LAS VEGAS, NV 89030
Clark County (702) 680-1009
DR. JONATHAN MINSOO SKELTON DMD
Dentist (General Practice)
1820 E CRAIG RD STE 102
NORTH LAS VEGAS, NV 89030
Clark County (702) 680-1009

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 Heidi Kim's NPI number?

The NPI number for Heidi Kim is 1245065309. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Where is Heidi Kim located?

Heidi Kim practices at 1820 E Craig Rd Ste 102, North Las Vegas, NV 89030. The listed phone number is (702) 680-1009.

What is Heidi Kim's specialty?

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

Is Heidi Kim enrolled in Medicare?

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

What insurance does Heidi Kim accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Heidi 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 Heidi Kim was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.