DR. SHAWN SEONGHOON KIM D.D.S.
NPI 1316227499
Dentist - General Practice in Hyde Park, MA

Active since August 22, 2011PECOS Enrolled
1138 RIVER ST, HYDE PARK, MA 02136(213) 700-9838 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shawn Seonghoon Kim D.d.s. NPPES

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

DR. SHAWN SEONGHOON KIM D.D.S. (NPI 1316227499) is an individual general practice provider in Hyde Park, Massachusetts, licensed in Massachusetts (DN1856147) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316227499
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAWN SEONGHOON KIMCredential: D.D.S.
Location Address1138 RIVER STHyde Park, MA 02136-2970
Mailing Address1138 River StHyde Park, MA 02136 · (213) 700-9838
Sole ProprietorNo
Enumeration DateAugust 22, 2011
Last NPPES UpdateSeptember 2, 2016
NPI 1316227499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MA · DN1856147
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.

1138 RIVER ST, Hyde Park, MA 02136

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)

Dr. Shawn Seonghoon 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 02136 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 3

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

Dentist (General Practice)
1138 RIVER ST
HYDE PARK, MA 02136
Dentist (General Practice)
1138 RIVER ST
HYDE PARK, MA 02136
Dentist
1138 RIVER ST
HYDE PARK, MA 02136

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 Shawn Kim's NPI number?

The NPI number for Shawn Kim is 1316227499. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Shawn Kim located?

Shawn Kim practices at 1138 River St, Hyde Park, MA 02136. The listed phone number is (213) 700-9838.

What is Shawn Kim's specialty?

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

Is Shawn Kim enrolled in Medicare?

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

What insurance does Shawn Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Shawn 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 Shawn Kim was last updated on September 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.