DR. IN HEE SONG D.M.D., M.D.
NPI 1447523667
Dentist - Oral and Maxillofacial Surgery in Placerville, CA

Q: What is In Hee Song's NPI number?

The NPI number for In Hee Song is 1447523667. It was assigned to this individual provider in the NPPES registry on February 18, 2012.

Q: What is In Hee Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is In Hee Song enrolled in Medicare?

No. In Hee Song has opted out of Medicare through September 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for In Hee Song was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 February 18, 2012Opted out of Medicare · through Sep 3, 2027

1004 FOWLER WAY STE 9, PLACERVILLE, CA 95667(530) 328-0360(530) 328-0365 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2025, Oct 30, 2023, Jul 1, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Dr. In Hee Song D.m.d., M.d. NPPES

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

DR. IN HEE SONG D.M.D., M.D. (NPI 1447523667) is an individual oral and maxillofacial surgery provider in Placerville, California, licensed in California (OMS125) and active in the NPI registry since February 2012. He has opted out of Medicare through September 3, 2027 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1447523667

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. IN HEE SONGCredential: D.M.D., M.D.

Location Address1004 FOWLER WAY STE 9Placerville, CA 95667-5746

Mailing Address1004 Fowler Way Ste 9Placerville, CA 95667-5746 · (530) 328-0360

Phone(530) 328-0360

Fax(530) 328-0365

Sole ProprietorYes

Enumeration DateFebruary 18, 2012

Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2025

✔ NPI 1447523667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in CA · OMS125✔ Licensed in NY · 059801

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 294967 (NY)

1004 FOWLER WAY STE 9, Placerville, CA 95667

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Gustave L Levy Pl, Box 1187New York, NY 10029-6500 · Phone (212) 241-7681

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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

ⓘ

Opted out of Medicare

Dr. In Hee Song D.m.d., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2021 through September 3, 2027.

Opt-Out Effective DateSeptember 3, 2021

Opt-Out In Effect ThroughSeptember 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

IN HEE SONG DMD, MD, INC

Dentist (Oral and Maxillofacial Surgery)

1004 FOWLER WAY STE 9
PLACERVILLE, CA 95667

El Dorado County (530) 328-0360

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 In Hee Song's NPI number?

The NPI number for In Hee Song is 1447523667. It was assigned to this individual provider in the NPPES registry on February 18, 2012.

Where is In Hee Song located?

In Hee Song practices at 1004 Fowler Way Ste 9, Placerville, CA 95667. The listed phone number is (530) 328-0360.

What is In Hee Song's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is In Hee Song enrolled in Medicare?

No. In Hee Song has opted out of Medicare through September 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does In Hee Song accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list In Hee Song 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 In Hee Song was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.