DR. DAVID S KIM D.M.D.
NPI 1548580871
Dentist - Prosthodontics in Newton Highlands, MA

Active since June 09, 2010PECOS Enrolled
64 COLUMBUS ST, NEWTON HIGHLANDS, MA 02461(646) 342-3951 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David S Kim D.m.d. NPPES

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

DR. DAVID S KIM D.M.D. (NPI 1548580871) is an individual prosthodontics provider in Newton Highlands, Massachusetts, licensed in Massachusetts (DN1855408) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brookline.

NPPES Registry Identity

NPI1548580871
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. DAVID S KIMCredential: D.M.D.
Location Address64 COLUMBUS STNewton Highlands, MA 02461-1439
Mailing Address64 Columbus StNewton Highlands, MA 02461-1439 · (646) 342-3951
Sole ProprietorNo
Enumeration DateJune 9, 2010
Last NPPES UpdateJuly 13, 2024
NPPES CertifiedJuly 13, 2024
NPI 1548580871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in MA · DN1855408
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X · License DN1855408 (MA)
64 COLUMBUS ST, Newton Highlands, MA 02461

Secondary Practice Location 1

Location 11682 Beacon StBrookline, MA 02445-2120 · Phone (646) 342-3951

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. David S Kim D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2017 through November 6, 2025.

Opt-Out Effective DateNovember 6, 2017
Opt-Out In Effect ThroughNovember 6, 2025Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02461 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Dentist (Dental Public Health)
64 COLUMBUS ST
NORTH HIGHLANDS, MA 02461
Dentist (General Practice)
64 COLUMBUS ST
NEWTON, MA 02461
Dentist (Periodontics)
64 COLUMBUS ST
NEWTON HIGHLANDS, MA 02461
Dentist
64 COLUMBUS ST
NEWTON, MA 02461
Dentist
64 COLUMBUS ST
NEWTON HIGHLANDS, MA 02461
Dentist (Prosthodontics)
64 COLUMBUS ST
NEWTON, MA 02461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548580871, enumerated as an "individual" on June 09, 2010.

The provider is located at 64 COLUMBUS ST NEWTON HIGHLANDS, MA 02461 and the phone number is (646) 342-3951.

Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to verify.