DR. SARAH SOONYOUNG KIM D.D.S.
NPI 1407048192
Dentist in Riverside, CA

Active since August 15, 2007PECOS Enrolled
5225 CANYON CREST DR STE 309, RIVERSIDE, CA 92507(909) 380-2544 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sarah Soonyoung Kim D.d.s. NPPES

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

DR. SARAH SOONYOUNG KIM D.D.S. (NPI 1407048192) is an individual dentist in Riverside, California, licensed in California (56036) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407048192
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SARAH SOONYOUNG KIMCredential: D.D.S.
Location Address5225 CANYON CREST DR STE 309Riverside, CA 92507-6324
Mailing Address11467 Via CapriLoma Linda, CA 92354-3853 · (310) 614-3593
Sole ProprietorYes
Enumeration DateAugust 15, 2007
Last NPPES UpdateJuly 15, 2014
NPI 1407048192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 56036
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.
5225 CANYON CREST DR STE 309, Riverside, CA 92507

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sarah Soonyoung 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 92507 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Dentist (Pediatric Dentistry)
5225 CANYON CREST DR STE 309
RIVERSIDE, CA 92507

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 Sarah Kim's NPI number?

The NPI number for Sarah Kim is 1407048192. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Sarah Kim located?

Sarah Kim practices at 5225 Canyon Crest Dr Ste 309, Riverside, CA 92507. The listed phone number is (909) 380-2544.

What is Sarah Kim's specialty?

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

Is Sarah Kim enrolled in Medicare?

Yes. Sarah Kim is registered in the Medicare PECOS enrollment system.

What insurance does Sarah Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Sarah 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 Sarah Kim was last updated on July 15, 2014. 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.