MR. HAK CHEON KIM DDS
NPI 1407912405
Dentist - General Practice in Ontario, CA

Q: What is Hak Cheon Kim's NPI number?

The NPI number for Hak Cheon Kim is 1407912405. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Hak Cheon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Hak Cheon Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 28, 2006PECOS Enrolled

2550 S ARCHIBALD AVE, #M, ONTARIO, CA 91761(909) 923-6622(909) 923-3143 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Hak Cheon Kim Dds NPPES

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

MR. HAK CHEON KIM DDS (NPI 1407912405) is an individual general practice provider in Ontario, California, licensed in California (36394) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407912405

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. HAK CHEON KIMCredential: DDS

Location Address2550 S ARCHIBALD AVE, #MOntario, CA 91761

Mailing Address2550 S Archibald Ave, #mOntario, CA 91761 · (909) 923-6622 · Fax (909) 923-3143

Phone(909) 923-6622

Fax(909) 923-3143

Sole ProprietorNo

Enumeration DateDecember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407912405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 36394

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2550 S ARCHIBALD AVE, Ontario, CA 91761

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Mr. Hak Cheon Kim Dds 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 91761 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.

HAK CHEON KIM DDS INC

Dentist (General Practice)

2550 S ARCHIBALD AVE, #M
ONTARIO, CA 91761

San Bernardino County (909) 923-6622

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 Hak Cheon Kim's NPI number?

The NPI number for Hak Cheon Kim is 1407912405. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Hak Cheon Kim located?

Hak Cheon Kim practices at 2550 S Archibald Ave #m, Ontario, CA 91761. The listed phone number is (909) 923-6622.

What is Hak Cheon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Hak Cheon Kim enrolled in Medicare?

Yes. Hak Cheon Kim is registered in the Medicare PECOS enrollment system.

What insurance does Hak Cheon Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Hak Cheon 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 Hak Cheon Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.