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DR. JUNGSOO KIM DDS
NPI 1295466126
Dentist - Pediatric Dentistry in San Francisco, CA

Active since June 21, 2022PECOS Enrolled
1249 18TH AVE APT 301, SAN FRANCISCO, CA 94122(646) 345-2530 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jungsoo Kim Dds NPPES

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

DR. JUNGSOO KIM DDS (NPI 1295466126) is an individual pediatric dentistry provider in San Francisco, California, licensed in California (DDS104691) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295466126
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JUNGSOO KIMCredential: DDS
Location Address1249 18TH AVE APT 301San Francisco, CA 94122-1867
Mailing Address1249 18th Ave Apt 301San Francisco, CA 94122-1867 · (646) 345-2530
Phone(646) 345-2530
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1295466126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · DDS104691
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1249 18TH AVE APT 301, San Francisco, CA 94122
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jungsoo Kim Dds 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 94122 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 Jungsoo Kim's NPI number?

The NPI number for Jungsoo Kim is 1295466126. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Jungsoo Kim located?

Jungsoo Kim practices at 1249 18th Ave Apt 301, San Francisco, CA 94122. The listed phone number is (646) 345-2530.

What is Jungsoo Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jungsoo Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jungsoo Kim was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.