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JUAN KIM DDS
NPI 1356717987
Dentist - Oral and Maxillofacial Surgery in Kansas City, MO

Active since August 18, 2015PECOS EnrolledAccepts Medicare Assignment
2101 CHARLOTTE ST STE 310, KANSAS CITY, MO 64108(816) 404-0500 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Apr 13, 2018 (2 updates tracked since 2018).

About Juan Kim Dds NPPES

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

JUAN KIM DDS (NPI 1356717987) is an individual oral and maxillofacial surgery provider in Kansas City, Missouri, licensed in Missouri (2018011706) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Truman Medical Center Hospital Hill, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356717987
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJUAN KIMCredential: DDS
Location Address2101 CHARLOTTE ST STE 310Kansas City, MO 64108-2727
Mailing Address2101 Charlotte St Ste 310Kansas City, MO 64108-2727 · (816) 404-0500
Phone(816) 404-0500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 18, 2015
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1356717987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MO · 2018011706
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License D10311 (OR)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2018011706 (MO)
2101 CHARLOTTE ST STE 310, Kansas City, MO 64108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Juan Kim Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830492388
PECOS Enrollment IDI20240912000549
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Truman Medical Center Hospital Hill

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260048
Location2301 Holmes StreetKansas City, MO 64108 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

DR. BRANDON GOLUB MD, DDS
Student in an Organized Health Care Education/Training Program
2101 CHARLOTTE ST STE 310
KANSAS CITY, MO 64108
Jackson County (816) 404-4356

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 Juan Kim's NPI number?

The NPI number for Juan Kim is 1356717987. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Juan Kim located?

Juan Kim practices at 2101 Charlotte St Ste 310, Kansas City, MO 64108. The listed phone number is (816) 404-0500.

What is Juan Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Juan Kim enrolled in Medicare?

Yes. Juan Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Juan Kim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 18 other insurers list Juan 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.

Is Juan Kim affiliated with any hospitals?

According to CMS data, Juan Kim is affiliated with Truman Medical Center Hospital Hill.

When was this NPI record last updated?

The NPPES record for Juan Kim was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.