JAE HEE SHIM DMD
NPI 1417246000
Dentist in Bakersfield, CA

Q: What is Jae Hee Shim's NPI number?

The NPI number for Jae Hee Shim is 1417246000. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Q: What is Jae Hee Shim'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 Jae Hee Shim was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 04, 2011PECOS Enrolled

3450 STINE RD, BAKERSFIELD, CA 93309(661) 377-6453 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2019, Aug 24, 2018 (2 updates tracked since 2018).

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About Jae Hee Shim Dmd NPPES

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

JAE HEE SHIM DMD (NPI 1417246000) is an individual dentist in Bakersfield, California, licensed in California (DDS102406) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417246000

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJAE HEE SHIMCredential: DMD

Location Address3450 STINE RDBakersfield, CA 93309-6341

Mailing Address4201 Jewetta Ave Apt L4Bakersfield, CA 93312-5496 · (509) 823-3740

Phone(661) 377-6453

Sole ProprietorNo

Enumeration DateApril 4, 2011

Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration

✔ NPI 1417246000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS102406

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 DDS102406 (CA)

3450 STINE RD, Bakersfield, CA 93309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Renaissance Dental, UnitedHealthcare.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)

Jae Hee Shim Dmd 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 93309 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

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$73.67 typical visit price

range $19.34 – $145.64

Typical copayment $18.41 (range $4.83 – $36.41)

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 11

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

LUIS C ESTRADA DDS INC.

Dentist (General Practice)