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