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NICHOLAS S KIM DMD MD
NPI 1457994980
Dentist - Oral and Maxillofacial Surgery in Fall River, MA

Active since October 28, 2019PECOS Enrolled
180 ELSBREE ST, FALL RIVER, MA 02720(508) 672-1069 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Oct 28, 2019 (2 updates tracked since 2019).

About Nicholas S Kim Dmd Md NPPES

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

NICHOLAS S KIM DMD MD (NPI 1457994980) is an individual oral and maxillofacial surgery provider in Fall River, Massachusetts, licensed in Massachusetts (DN1859729) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457994980
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNICHOLAS S KIMCredential: DMD MD
Location Address180 ELSBREE STFall River, MA 02720-7212
Mailing Address180 Elsbree StFall River, MA 02720-7212 · (508) 672-1069
Phone(508) 672-1069
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 28, 2019
Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
✔ NPI 1457994980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MA · DN1859729
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 ListedSurgeryTaxonomy 208600000X · License 1016683 (MA)
180 ELSBREE ST, Fall River, MA 02720
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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, Anthem Blue Cross and Blue Shield, 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

✔

Enrolled in Medicare (PECOS)

Nicholas S Kim Dmd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830523927
PECOS Enrollment IDI20230724002225
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 3

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

DR. ROSS EVAN CAMIEL DMD, MD
Dentist (Oral and Maxillofacial Surgery)
180 ELSBREE ST
FALL RIVER, MA 02720
Bristol County (508) 672-1069
PATRICK CURRAN
Dentist (Oral and Maxillofacial Surgery)
180 ELSBREE ST
FALL RIVER, MA 02720
Bristol County (508) 672-1069
DENTAL SURGEONS OF FALL RIVER, PC
Dentist (Oral and Maxillofacial Pathology)
180 ELSBREE ST
FALL RIVER, MA 02720
Bristol County (508) 672-1069

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 Nicholas Kim's NPI number?

The NPI number for Nicholas Kim is 1457994980. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Nicholas Kim located?

Nicholas Kim practices at 180 Elsbree St, Fall River, MA 02720. The listed phone number is (508) 672-1069.

What is Nicholas Kim's specialty?

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

Is Nicholas Kim enrolled in Medicare?

Yes. Nicholas Kim is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Nicholas 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 Nicholas Kim was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.