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YEUN JOO KIM D.D.S.
NPI 1396171526
Dentist in Hercules, CA

Active since September 19, 2013PECOS Enrolled
9 ARETE COURT, HERCULES, CA 94547(858) 337-5451 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Yeun Joo Kim D.d.s. NPPES

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

YEUN JOO KIM D.D.S. (NPI 1396171526) is an individual dentist in Hercules, California, licensed in California (62779) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396171526
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameYEUN JOO KIMCredential: D.D.S.
Location Address9 ARETE COURTHercules, CA 94547
Mailing Address9 Arete CourtHercules, CA 94547
Phone(858) 337-5451
Sole ProprietorYes
Enumeration DateSeptember 19, 2013
✔ NPI 1396171526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 62779
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9 ARETE COURT, Hercules, CA 94547
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yeun Joo Kim D.d.s. 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 94547 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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 Yeun Joo Kim's NPI number?

The NPI number for Yeun Joo Kim is 1396171526. It was assigned to this individual provider in the NPPES registry on September 19, 2013.

Where is Yeun Joo Kim located?

Yeun Joo Kim practices at 9 Arete Court, Hercules, CA 94547. The listed phone number is (858) 337-5451.

What is Yeun Joo Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Yeun Joo Kim enrolled in Medicare?

Yes. Yeun Joo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yeun Joo Kim was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.