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DR. MICHAEL I KIM D.D.S.
NPI 1306938709
Dentist in Mequon, WI

Active since September 29, 2006PECOS Enrolled
10033 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 241-5558(252) 241-5545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael I Kim D.d.s. NPPES

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

DR. MICHAEL I KIM D.D.S. (NPI 1306938709) is an individual dentist in Mequon, Wisconsin, licensed in Wisconsin (3705) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306938709
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL I KIMCredential: D.D.S.
Location Address10033 N PORT WASHINGTON RDMequon, WI 53092-5799
Mailing Address10033 N Port Washington RdMequon, WI 53092-5799 · (262) 241-5558 · Fax (252) 241-5545
Phone(262) 241-5558
Fax(252) 241-5545
Sole ProprietorYes
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306938709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 3705
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.
10033 N PORT WASHINGTON RD, Mequon, WI 53092
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael I 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 53092 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 2

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

BALANCE CHIROPRACTIC CENTER, LLC
Chiropractor
10033 N PORT WASHINGTON RD, SUITE 100
MEQUON, WI 53092
Ozaukee County (262) 240-0136
DR. HUTAN GHOJALLU D.C.
Chiropractor
10033 N PORT WASHINGTON RD
MEQUON, WI 53092
Ozaukee County (262) 240-0136

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 Michael Kim's NPI number?

The NPI number for Michael Kim is 1306938709. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Michael Kim located?

Michael Kim practices at 10033 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 241-5558.

What is Michael Kim's specialty?

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

Is Michael Kim enrolled in Medicare?

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

What insurance does Michael 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 and Delta Dental of Wisconsin, Inc. list Michael 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 Michael Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.