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DANIEL S KIM DDS MD
NPI 1558895979
Dentist - Oral and Maxillofacial Surgery in Lititz, PA

Active since April 12, 2017Opted out of Medicare · through Jan 22, 2028
1575 HIGHLANDS DR STE 106, LITITZ, PA 17543(267) 261-8796 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, Apr 12, 2017 (2 updates tracked since 2017).

About Daniel S Kim Dds Md NPPES

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

DANIEL S KIM DDS MD (NPI 1558895979) is an individual oral and maxillofacial surgery provider in Lititz, Pennsylvania, licensed in Pennsylvania (DS044771) and active in the NPI registry since April 2017. He has opted out of Medicare through January 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558895979
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDANIEL S KIMCredential: DDS MD
Location Address1575 HIGHLANDS DR STE 106Lititz, PA 17543-7507
Mailing Address104 Morning DrEphrata, PA 17522-8452 · (267) 261-8796
Phone(267) 261-8796
Sole ProprietorNo
Enumeration DateApril 12, 2017
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1558895979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS044771
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedSurgeryTaxonomy 208600000X · License MD486291 (PA)
1575 HIGHLANDS DR STE 106, Lititz, PA 17543
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Daniel S Kim Dds Md 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 January 22, 2026 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2026
Opt-Out In Effect ThroughJanuary 22, 2028Opt-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 17543 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

LITITZ ORAL SURGERY
Oral & Maxillofacial Surgery
1575 HIGHLANDS DR STE 106
LITITZ, PA 17543
Lancaster County (717) 627-2299

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 Daniel Kim's NPI number?

The NPI number for Daniel Kim is 1558895979. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Daniel Kim located?

Daniel Kim practices at 1575 Highlands Dr Ste 106, Lititz, PA 17543. The listed phone number is (267) 261-8796.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Daniel Kim enrolled in Medicare?

No. Daniel Kim has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Daniel Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Daniel 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 Daniel Kim was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.