JINSIL ALEXIS KIM DMD
NPI 1497690002
Dentist - General Practice in Sandy, UT

Active since April 21, 2026PECOS Enrolled
65 E 10600 S STE 104, SANDY, UT 84070(801) 335-6465 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jinsil Alexis Kim Dmd NPPES

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

JINSIL ALEXIS KIM DMD (NPI 1497690002) is an individual general practice provider in Sandy, Utah, licensed in Utah (14281626-9926) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497690002
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJINSIL ALEXIS KIMCredential: DMD
Location Address65 E 10600 S STE 104Sandy, UT 84070-4124
Mailing Address65 E 10600 S Ste 104Sandy, UT 84070-4124 · (801) 335-6465
Sole ProprietorNo
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1497690002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 14281626-9926
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
65 E 10600 S STE 104, Sandy, UT 84070

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)

Jinsil Alexis Kim 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 84070 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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

Dentist (General Practice)
65 E 10600 S STE 104
SANDY, UT 84070

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 Jinsil Kim's NPI number?

The NPI number for Jinsil Kim is 1497690002. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Jinsil Kim located?

Jinsil Kim practices at 65 E 10600 S Ste 104, Sandy, UT 84070. The listed phone number is (801) 335-6465.

What is Jinsil Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jinsil Kim enrolled in Medicare?

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

What insurance does Jinsil Kim 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 BridgeSpan Health Company and 8 other insurers list Jinsil 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 Jinsil Kim was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.