KWANG HYO KIM
NPI 1295282010
Dentist - General Practice in University Place, WA

Active since September 09, 2016PECOS Enrolled
3670 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466(253) 212-3430 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kwang Hyo Kim NPPES

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

KWANG HYO KIM (NPI 1295282010) is an individual general practice provider in University Place, Washington, licensed in Washington (DE60672661) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295282010
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKWANG HYO KIM
Location Address3670 BRIDGEPORT WAY WUniversity Place, WA 98466-4413
Mailing Address3670 Bridgeport Way WUniversity Place, WA 98466-4413
Sole ProprietorYes
Enumeration DateSeptember 9, 2016
NPI 1295282010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE60672661
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.

3670 BRIDGEPORT WAY W, University Place, WA 98466

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)

Kwang Hyo Kim 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 98466 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 4

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

Dentist (General Practice)
3670 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98466
Dentist
3670 BRIDGEPORT WAY W, UNIT B
UNIVERSITY PLACE, WA 98466
Dentist (General Practice)
3670 BRIDGEPORT WAY W, UNIT B
UNIVERSITY PLACE, WA 98466
Clinic/Center (Dental)
3670 BRIDGEPORT WAY W, UNIT B
UNIVERSITY PLACE, WA 98466

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 Kwang Hyo Kim's NPI number?

The NPI number for Kwang Hyo Kim is 1295282010. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Where is Kwang Hyo Kim located?

Kwang Hyo Kim practices at 3670 Bridgeport Way W, University Place, WA 98466. The listed phone number is (253) 212-3430.

What is Kwang Hyo Kim's specialty?

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

Is Kwang Hyo Kim enrolled in Medicare?

Yes. Kwang Hyo Kim is registered in the Medicare PECOS enrollment system.

What insurance does Kwang Hyo Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kwang Hyo 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 Kwang Hyo Kim was last updated on September 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.