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DR. ALEXANDER YOUNGWHAN KIM MD, DDS
NPI 1457356057
Oral & Maxillofacial Surgery in Phoenix, AZ

Active since June 20, 2005Opted out of Medicare · through Apr 1, 2027
2222 E HIGHLAND AVE STE 320, PHOENIX, AZ 85016(602) 956-9560(602) 956-9977 Get Directions Write a Review

NPPES record last updated: August 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2021, Nov 6, 2019 (2 updates tracked since 2019).

About Dr. Alexander Youngwhan Kim Md, Dds NPPES

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

DR. ALEXANDER YOUNGWHAN KIM MD, DDS (NPI 1457356057) is an individual oral & maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (62347) and active in the NPI registry since June 2005. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1457356057
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ALEXANDER YOUNGWHAN KIMCredential: MD, DDS
Location Address2222 E HIGHLAND AVE STE 320Phoenix, AZ 85016-4879
Mailing Address2222 E Highland Ave Ste 320Phoenix, AZ 85016-4879 · (602) 956-9560 · Fax (602) 956-9977
Phone(602) 956-9560
Fax(602) 956-9977
Sole ProprietorYes
Enumeration DateJune 20, 2005
Last NPPES UpdateAugust 14, 20212 updates tracked since enumeration
NPPES CertifiedAugust 14, 2021
✔ NPI 1457356057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in AZ · 62347
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 10929 (AZ)
2222 E HIGHLAND AVE STE 320, Phoenix, AZ 85016
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, 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

ⓘ

Opted out of Medicare

Dr. Alexander Youngwhan Kim Md, Dds 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

SELENA MERGENDAHL
Dental Assistant
2222 E HIGHLAND AVE STE 320
PHOENIX, AZ 85016
Maricopa County (602) 956-9560
DR. REED H. DAY D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
2222 E HIGHLAND AVE STE 320
PHOENIX, AZ 85016
Maricopa County (602) 956-9560
DEMITRIA BAGG
Dental Assistant
2222 E HIGHLAND AVE STE 320
PHOENIX, AZ 85016
Maricopa County (602) 956-9560
ANDREA INMAN
Dentist (Oral and Maxillofacial Surgery)
2222 E HIGHLAND AVE STE 320
PHOENIX, AZ 85016
Maricopa County (602) 956-9560
STEPHANIE VILLA
Dental Assistant
2222 E HIGHLAND AVE STE 320
PHOENIX, AZ 85016
Maricopa County (602) 956-9560

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 Alexander Kim's NPI number?

The NPI number for Alexander Kim is 1457356057. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Alexander Kim located?

Alexander Kim practices at 2222 E Highland Ave Ste 320, Phoenix, AZ 85016. The listed phone number is (602) 956-9560.

What is Alexander Kim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Alexander Kim enrolled in Medicare?

No. Alexander Kim has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Alexander Kim accept?

Health plans from Ambetter from Arizona Complete Health, 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 9 other insurers list Alexander 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 Alexander Kim was last updated on August 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.