DR. JEAN HEE KIM D.D.S.
NPI 1285980367
Dentist in Waukee, IA

Q: What is Jean Kim's NPI number?

The NPI number for Jean Kim is 1285980367. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Q: What is Jean 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 Jean Kim was last updated on July 2, 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 26, 2012PECOS Enrolled

402 E HICKMAN RD, WAUKEE, IA 50263(515) 777-7568 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jean Hee Kim D.d.s. NPPES

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

DR. JEAN HEE KIM D.D.S. (NPI 1285980367) is an individual dentist in Waukee, Iowa, licensed in Iowa (08950) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa College Of Dentistry (2012).

NPPES Registry Identity

NPI1285980367

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JEAN HEE KIMCredential: D.D.S.

Location Address402 E HICKMAN RDWaukee, IA 50263-5060

Mailing Address8834 Canyon StWest Des Moines, IA 50266-8538 · (515) 657-0555

Phone(515) 777-7568

Sole ProprietorNo

Medical School CMSUniversity Of Iowa College Of DentistryGraduated 2012

Enumeration DateJuly 26, 2012

Last NPPES UpdateJuly 2, 2024

NPPES CertifiedJuly 2, 2024

✔ NPI 1285980367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IA · 08950

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.

402 E HICKMAN RD, Waukee, IA 50263

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Jean Hee Kim D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406342807

PECOS Enrollment IDI20260106002422

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 Jean Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aria Dental Care PC

190 mi

Dentist

8500 W 110TH ST STE 260
Overland Park, KS 66210

Reassigned Medicare billing, Iowa enrollment
14 clinicians in this Medicare group

NPI 1942977632 (877) 674-1211

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 50263 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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 Jean Kim's NPI number?

The NPI number for Jean Kim is 1285980367. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Where is Jean Kim located?

Jean Kim practices at 402 E Hickman Rd, Waukee, IA 50263. The listed phone number is (515) 777-7568.

What is Jean Kim's specialty?

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

Is Jean Kim enrolled in Medicare?

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

Which organization bills Medicare for Jean Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Kim reassigns Medicare benefits to Aria Dental Care PC (Overland Park, KS). 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 Jean Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Iowa and Guardian and 1 other insurer list Jean 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 Jean Kim was last updated on July 2, 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.