DR. TAERA KIM DMD
NPI 1366625816
Dentist - Orthodontics and Dentofacial Orthopedics in Los Angeles, CA

Active since December 06, 2007Opted out of Medicare · through Oct 28, 2026
680 WILSHIRE PL, SUITE 411, LOS ANGELES, CA 90005(213) 738-7077 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Taera Kim Dmd NPPES

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

DR. TAERA KIM DMD (NPI 1366625816) is an individual orthodontics and dentofacial orthopedics provider in Los Angeles, California, licensed in California (56631) and active in the NPI registry since December 2007. She has opted out of Medicare through October 28, 2026.

NPPES Registry Identity

NPI1366625816
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameDR. TAERA KIMCredential: DMD
Location Address680 WILSHIRE PL, SUITE 411Los Angeles, CA 90005-3931
Mailing Address5057 Fulton AveSherman Oaks, CA 91423-1501 · (213) 400-4938
Sole ProprietorYes
Enumeration DateDecember 6, 2007
Last NPPES UpdateMarch 5, 2010
NPI 1366625816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 56631
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
680 WILSHIRE PL, Los Angeles, CA 90005

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Taera Kim Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 28, 2020 through October 28, 2026.

Opt-Out Effective DateOctober 28, 2020
Opt-Out In Effect ThroughOctober 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Chiropractor
680 WILSHIRE PL, # 312-B
LOS ANGELES, CA 90005
Dentist (General Practice)
680 WILSHIRE PL, #411
LOS ANGELES, CA 90005
Acupuncturist
680 WILSHIRE PL, 312
LOS ANGELES, CA 90005
Acupuncturist
680 WILSHIRE PL, #311
LOS ANGELES, CA 90005
Dentist (General Practice)
680 WILSHIRE PL, SUITE 314
LOS ANGELES, CA 90005
Acupuncturist
680 WILSHIRE PL, STE 311
LOS ANGELES, CA 90005

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 Taera Kim's NPI number?

The NPI number for Taera Kim is 1366625816. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Taera Kim located?

Taera Kim practices at 680 Wilshire Pl Suite 411, Los Angeles, CA 90005. The listed phone number is (213) 738-7077.

What is Taera Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Taera Kim enrolled in Medicare?

No. Taera Kim has opted out of Medicare through October 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Taera Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Nebraska and Humana list Taera 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 Taera Kim was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.