JAE HEE SHIM DMD
NPI 1417246000
Dentist in Bakersfield, CA

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: July 26, 2026.

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

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
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

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)

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.

Dentist (General Practice)
3450 STINE RD
BAKERSFIELD, CA 93309
Dentist
3450 STINE RD
BAKERSFIELD, CA 93309
Dentist
3450 STINE RD
BAKERSFIELD, CA 93309
Clinic/Center (Dental)
3450 STINE RD
BAKERSFIELD, CA 93309
Dentist (General Practice)
3450 STINE RD
BAKERSFIELD, CA 93309
Dentist
3450 STINE RD
BAKERSFIELD, CA 93309
Dentist
3450 STINE RD
BAKERSFIELD, CA 93309
Dentist (General Practice)
3450 STINE RD
BAKERSFIELD, CA 93309

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 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.

Where is Jae Hee Shim located?

Jae Hee Shim practices at 3450 Stine Rd, Bakersfield, CA 93309. The listed phone number is (661) 377-6453.

What is Jae Hee Shim's specialty?

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

Is Jae Hee Shim enrolled in Medicare?

Yes. Jae Hee Shim is registered in the Medicare PECOS enrollment system.

What insurance does Jae Hee Shim accept?

Health plans from Humana, Renaissance Dental and UnitedHealthcare list Jae Hee Shim 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 Jae Hee Shim was last updated on January 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.