SMILE DENTAL & IMPLANT CENTER
NPI 1487926911
Clinic/Center - Dental in Los Angeles, CA
About Smile Dental & Implant Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SMILE DENTAL & IMPLANT CENTER (NPI 1487926911) is a healthcare organization registered as a dental in Los Angeles, California and active in the NPI registry since January 2012. The organization lists Dong M Kim, C.e.o, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Smile Dental & Implant Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Smile Dental & Implant Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dong Myung Kim Dds Inc's NPI number?
The NPI number for Dong Myung Kim Dds Inc is 1487926911. It was assigned to this organization in the NPPES registry on January 30, 2012. The provider is doing business as Smile Dental & Implant Center.
Where is Dong Myung Kim Dds Inc located?
Dong Myung Kim Dds Inc is located at 1055 S. Alvarado St, Los Angeles, CA 90004. The listed phone number is (213) 382-8980.
What is Dong Myung Kim Dds Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Dong Myung Kim Dds Inc enrolled in Medicare?
Yes. Dong Myung Kim Dds Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dong Myung Kim Dds Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Dong Myung Kim Dds Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dong Myung Kim Dds Inc was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Smile Dental & Implant Center · NPI 1487926911
Dental organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 30, 2012.
## Identity
- **NPI:** 1487926911 (Entity type: Organization)
- **Enumerated:** January 30, 2012
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Legal business name:** Dong Myung Kim Dds Inc
- **Organization subpart:** No
- **Authorized official:** Dong Kim, C.E.O
## Practice location
- **Address:** 1055 S. ALVARADO ST, Los Angeles, CA 90004
- **Phone:** (213) 382-8980 · **Fax:** (213) 382-5159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1487926911) · Data from the CMS NPPES public registry.