DR. DAEUK DAVID KIM DDS
NPI 1356827737
Dentist in Brea, CA
About Dr. Daeuk David Kim Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAEUK DAVID KIM DDS (NPI 1356827737) is an individual dentist in Brea, California, licensed in California (102817) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Daeuk David Kim Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Daeuk Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anaheim, CA 92802
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Buena Park, CA 90620
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Daeuk Kim's NPI number?
The NPI number for Daeuk Kim is 1356827737. It was assigned to this individual provider in the NPPES registry on July 18, 2018. The provider is also known as Dr. Daeuk David Kim Dds.
Where is Daeuk Kim located?
Daeuk Kim practices at 144 Waterfall Ln, Brea, CA 92821. The listed phone number is (510) 926-9414.
What is Daeuk Kim's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Daeuk Kim enrolled in Medicare?
Yes. Daeuk Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Daeuk Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daeuk Kim reassigns Medicare benefits to 2 organizations: Kim & Lee A Dental Corporation (Anaheim, CA) and Kim & Lee DDS Inc. (Buena Park, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daeuk Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Daeuk Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Daeuk 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 Daeuk Kim was last updated on March 25, 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.