Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASON KIM D.D.S
NPI 1265850754
Dentist in Oregon City, OR

Q: What is Jason Kim's NPI number?

The NPI number for Jason Kim is 1265850754. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Jason 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 Jason Kim was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 April 01, 2014PECOS Enrolled

110 BEAVERCREEK RD, OREGON CITY, OR 97045(503) 655-8278 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Mar 17, 2018, Feb 28, 2018 (3 updates tracked since 2018).

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About Jason Kim D.d.s NPPES

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

JASON KIM D.D.S (NPI 1265850754) is an individual dentist in Oregon City, Oregon, licensed in Oregon (D10016) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265850754

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJASON KIMCredential: D.D.S

Location Address110 BEAVERCREEK RDOregon City, OR 97045-4307

Mailing Address2051 Kaen Rd Ste 367Oregon City, OR 97045-4035

Phone(503) 655-8278

Sole ProprietorYes

Enumeration DateApril 1, 2014

Last NPPES UpdateSeptember 10, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2026

✔ NPI 1265850754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OR · D10016✔ Licensed in MO · 2014006877

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.

110 BEAVERCREEK RD, Oregon City, OR 97045

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Accepted Insurance

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

Jason Kim D.d.s 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 97045 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

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.

ASHLEY KIDD

Case Manager/Care Coordinator