DONGYEON KIM
NPI 1295224418
Dentist - Pediatric Dentistry in Union, MO
About Dongyeon Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONGYEON KIM (NPI 1295224418) is an individual pediatric dentistry provider in Union, Missouri, licensed in Missouri (2023005564) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
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)
Dongyeon Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Dongyeon Kim's NPI number?
The NPI number for Dongyeon Kim is 1295224418. It was assigned to this individual provider in the NPPES registry on May 2, 2018.
Where is Dongyeon Kim located?
Dongyeon Kim practices at 1780 Old Highway 50 E, Union, MO 63084. The listed phone number is (639) 695-6055.
What is Dongyeon Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Dongyeon Kim enrolled in Medicare?
Yes. Dongyeon Kim is registered in the Medicare PECOS enrollment system.
What insurance does Dongyeon Kim accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 other insurers list Dongyeon 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 Dongyeon Kim was last updated on April 16, 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.
# Dongyeon Kim · NPI 1295224418
Pediatric Dentistry provider in Union, Missouri. Individual provider, active in the CMS NPPES registry since May 2, 2018.
## Identity
- **NPI:** 1295224418 (Entity type: Individual)
- **Enumerated:** May 2, 2018
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 2023005564 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1780 OLD HIGHWAY 50 E, Union, MO 63084-3219
- **Phone:** (639) 695-6055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** April 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295224418) · Data from the CMS NPPES public registry.