DR. SUNG HO KIM D.D.S.
NPI 1316305352
Dentist in Chesterfield, MO

Q: What is Sung Kim's NPI number?

The NPI number for Sung Kim is 1316305352. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Q: What is Sung Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sung Kim was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 05, 2016PECOS Enrolled

1001 CHESTERFIELD PKWY E STE 202, CHESTERFIELD, MO 63017(636) 532-2228 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 21, 2019, Feb 5, 2016 (2 updates tracked since 2016).

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About Dr. Sung Ho Kim D.d.s. NPPES

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

DR. SUNG HO KIM D.D.S. (NPI 1316305352) is an individual dentist in Chesterfield, Missouri, licensed in Missouri (2015040188) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316305352

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SUNG HO KIMCredential: D.D.S.

Location Address1001 CHESTERFIELD PKWY E STE 202Chesterfield, MO 63017-2167

Mailing Address7125 N Durango DrLas Vegas, NV 89149-4466 · (415) 828-8875

Phone(636) 532-2228

Sole ProprietorNo

Enumeration DateFebruary 5, 2016

Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration

✔ NPI 1316305352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2015040188

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.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License S3-335C (NV)

1001 CHESTERFIELD PKWY E STE 202, Chesterfield, MO 63017

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life 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. Sung Ho 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 63017 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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 Sung Kim's NPI number?

The NPI number for Sung Kim is 1316305352. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Sung Kim located?

Sung Kim practices at 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017. The listed phone number is (636) 532-2228.

What is Sung Kim's specialty?

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

Is Sung Kim enrolled in Medicare?

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

What insurance does Sung 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 6 other insurers list Sung 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 Sung Kim was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.