MR. SEAN YOUNGSAN KIM DDS
NPI 1497974448
Dentist in Litchfield Park, AZ

Q: What is Sean Kim's NPI number?

The NPI number for Sean Kim is 1497974448. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Sean Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Kim was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 25, 2007PECOS Enrolled

5115 N DYSART RD, STE 218, LITCHFIELD PARK, AZ 85340(623) 536-0900(623) 536-0920 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Sean Youngsan Kim Dds NPPES

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

MR. SEAN YOUNGSAN KIM DDS (NPI 1497974448) is an individual dentist in Litchfield Park, Arizona, licensed in Arizona (D4311) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497974448

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. SEAN YOUNGSAN KIMCredential: DDS

Location Address5115 N DYSART RD, STE 218Litchfield Park, AZ 85340

Mailing Address13706 W Bell Rd, Ste 2Surprise, AZ 85374 · (623) 584-9910 · Fax (623) 584-9940

Phone(623) 536-0900

Fax(623) 536-0920

Sole ProprietorNo

Enumeration DateApril 25, 2007

Last NPPES UpdateMay 22, 2009

✔ NPI 1497974448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D4311

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 4311 (AZ)

5115 N DYSART RD, Litchfield Park, AZ 85340

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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)

Mr. Sean Youngsan Kim Dds 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 85340 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 6

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

MRS. VONDA VOLESKY R.PH.

Pharmacist

5115 N DYSART RD
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 547-4581

MISS ANGEL MARIE FRYE R.D.H

Denturist

5115 N DYSART RD, STE 218
LITCHFIELD, AZ 85340

Maricopa County (623) 536-0900

RALEY'S ARIZONA LLC

Pharmacy (Community/Retail Pharmacy)

5115 N DYSART RD
LITCHFIELD PARK, AZ 85340

Maricopa County (623) 547-4581

T.Y.P. HOME DIALYSIS CARE LLC

Technician, Other (Renal Dialysis)

5115 N DYSART RD, 202-445
LITCHFIELD PARK, AZ 85340

Maricopa County (844) 520-7412

MS. ADRIAN YELLOWHAIR CCHT

Technician, Other (Renal Dialysis)

5115 N DYSART RD, 202-445
LITCHFIELD PARK, AZ 85340

Maricopa County (844) 520-7412

PHOENIX DENTAL GROUP LLC

Dentist

5115 N DYSART RD, SUITE 202-142
LITCHFIELD PARK, AZ 85340

Maricopa County (602) 232-1980

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 Sean Kim's NPI number?

The NPI number for Sean Kim is 1497974448. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Sean Kim located?

Sean Kim practices at 5115 N Dysart Rd Ste 218, Litchfield Park, AZ 85340. The listed phone number is (623) 536-0900.

What is Sean Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sean Kim enrolled in Medicare?

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

What insurance does Sean Kim accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 14 other insurers list Sean 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 Sean Kim was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.