1. Home
  2. Directory
  3. Texas
  4. Cedar Hill
  5. Dentist
  6. NPI Profile

JEONG YEON KIM DDS
NPI 1528762044
Dentist in Cedar Hill, TX

Active since March 28, 2023PECOS Enrolled
398 E FM 1382 STE B, CEDAR HILL, TX 75104(972) 291-6262 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 23, 2026, Jul 3, 2025, Mar 28, 2023 (3 updates tracked since 2023).

About Jeong Yeon Kim Dds NPPES

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

JEONG YEON KIM DDS (NPI 1528762044) is an individual dentist in Cedar Hill, Texas, licensed in Texas (41696) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528762044
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJEONG YEON KIMCredential: DDS
Location Address398 E FM 1382 STE BCedar Hill, TX 75104-6056
Mailing Address4820 Zilker AveCarrollton, TX 75010-4347
Phone(972) 291-6262
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateJanuary 23, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1528762044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 41696
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.
398 E FM 1382 STE B, Cedar Hill, TX 75104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Jeong Yeon 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 75104 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 4

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

DR. KYLE WILLIAM GROSS DDS
Dentist
398 E FM 1382 STE B
CEDAR HILL, TX 75104
Dallas County (972) 291-6262
OMAR SOTO DDS
Dentist
398 E FM 1382 STE B
CEDAR HILL, TX 75104
Dallas County (972) 291-6262
DR. MICHAEL WISTROM DDS
Dentist
398 E FM 1382 STE B
CEDAR HILL, TX 75104
Dallas County (972) 291-6262
CEDAR HILL MODERN DENTISTRY, PC
Dentist (General Practice)
398 E FM 1382 STE B
CEDAR HILL, TX 75104
Dallas County (972) 291-6262

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 Jeong Kim's NPI number?

The NPI number for Jeong Kim is 1528762044. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Jeong Kim located?

Jeong Kim practices at 398 E Fm 1382 Ste B, Cedar Hill, TX 75104. The listed phone number is (972) 291-6262.

What is Jeong Kim's specialty?

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

Is Jeong Kim enrolled in Medicare?

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

What insurance does Jeong Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Jeong 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 Jeong Kim was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.