DR. EUGENE KIM DDS
NPI 1417176157
Dentist in Portland, ME

Q: What is Eugene Kim's NPI number?

The NPI number for Eugene Kim is 1417176157. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Eugene Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eugene Kim was last updated on February 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2007PECOS Enrolled

1 COLLEGE ST, PORTLAND, ME 04103(207) 221-4747 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Eugene Kim Dds NPPES

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

DR. EUGENE KIM DDS (NPI 1417176157) is an individual dentist in Portland, Maine, licensed in Maine (4101) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417176157

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. EUGENE KIMCredential: DDS

Location Address1 COLLEGE STPortland, ME 04103-2617

Mailing Address105 Range RdCumberland Center, ME 04021-3433 · (207) 274-3167

Phone(207) 221-4747

Sole ProprietorNo

Enumeration DateApril 24, 2007

Last NPPES UpdateFebruary 9, 2022

NPPES CertifiedJanuary 26, 2022

✔ NPI 1417176157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in ME · 4101

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DS035713 (PA)

1 COLLEGE ST, Portland, ME 04103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Eugene 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 04103 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL HARVEY PASTERNACK D.M.D.

Dentist (General Practice)