DR. SO HEE KIM DMD
NPI 1316467517
Dentist - General Practice in Hurst, TX

Active since June 20, 2017PECOS Enrolled
618 W HARWOOD RD, HURST, TX 76054(817) 270-9217 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2021, Aug 10, 2017, Jun 20, 2017 (3 updates tracked since 2017).

About Dr. So Hee Kim Dmd NPPES

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

DR. SO HEE KIM DMD (NPI 1316467517) is an individual general practice provider in Hurst, Texas, licensed in Texas (33814) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Farmers Branch.

NPPES Registry Identity

NPI1316467517
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SO HEE KIMCredential: DMD
Location Address618 W HARWOOD RDHurst, TX 76054-3162
Mailing Address618 W Harwood RdHurst, TX 76054-3162 · (817) 270-9217
Sole ProprietorYes
Enumeration DateJune 20, 2017
Last NPPES UpdateApril 26, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1316467517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 33814
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.
Also ListedDentistTaxonomy 122300000X · License 1001610-15 (WI)
618 W HARWOOD RD, Hurst, TX 76054

Other Names 1

Other Name (5)Dr. Sohee Kim Dmd

Secondary Practice Location 1

Location 14801 Spring Valley Rd Ste 30Farmers Branch, TX 75244-8242 · Phone (214) 960-5656

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. So Hee Kim Dmd 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 76054 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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

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

Dentist (General Practice)
618 W HARWOOD RD
HURST, TX 76054

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 So Hee Kim's NPI number?

The NPI number for So Hee Kim is 1316467517. It was assigned to this individual provider in the NPPES registry on June 20, 2017. The provider is also known as Dr. Sohee Kim Dmd.

Where is So Hee Kim located?

So Hee Kim practices at 618 W Harwood Rd, Hurst, TX 76054. The listed phone number is (817) 270-9217.

What is So Hee Kim's specialty?

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

Is So Hee Kim enrolled in Medicare?

Yes. So Hee Kim is registered in the Medicare PECOS enrollment system.

What insurance does So Hee Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 5 other insurers list So Hee 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 So Hee Kim was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.