1. Home
  2. Directory
  3. Florida
  4. Clearwater
  5. Dentist
  6. NPI Profile

DR. MIRI CHRISTINE KIM DMD
NPI 1407103831
Dentist in Clearwater, FL

Active since August 03, 2012PECOS Enrolled
3400 GULF TO BAY BLVD RM 2901E, CLEARWATER, FL 33759(210) 452-8349 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Jul 14, 2023, Jun 13, 2023 (3 updates tracked since 2023).

About Dr. Miri Christine Kim Dmd NPPES

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

DR. MIRI CHRISTINE KIM DMD (NPI 1407103831) is an individual dentist in Clearwater, Florida, licensed in Florida (DTP789) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2012).

NPPES Registry Identity

NPI1407103831
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MIRI CHRISTINE KIMCredential: DMD
Location Address3400 GULF TO BAY BLVD RM 2901EClearwater, FL 33759-4514
Mailing Address3015 N Rocky Point Dr E Unit 103Tampa, FL 33607-6080 · (210) 452-8349
Phone(210) 452-8349
Sole ProprietorYes
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2012
Enumeration DateAugust 3, 2012
Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1407103831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DTP789
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.
3400 GULF TO BAY BLVD RM 2901E, Clearwater, FL 33759
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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. Miri Christine Kim Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921306366
PECOS Enrollment IDI20260401001229
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 33759 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 Miri Kim's NPI number?

The NPI number for Miri Kim is 1407103831. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Miri Kim located?

Miri Kim practices at 3400 Gulf To Bay Blvd Rm 2901E, Clearwater, FL 33759. The listed phone number is (210) 452-8349.

What is Miri Kim's specialty?

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

Is Miri Kim enrolled in Medicare?

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

What insurance does Miri Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 3 other insurers list Miri 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 Miri Kim was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.