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ALEXANDER Y KIM DDS
NPI 1598287484
Dentist - General Practice in Fort Cavazos, TX

Active since July 12, 2017PECOS Enrolled
36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544(254) 287-2705 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2020, Jul 12, 2017 (2 updates tracked since 2017).

About Alexander Y Kim Dds NPPES

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

ALEXANDER Y KIM DDS (NPI 1598287484) is an individual general practice provider in Fort Cavazos, Texas, licensed in Utah (14181273-9926) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598287484
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameALEXANDER Y KIMCredential: DDS
Location Address36000 SHOEMAKER LANE, SUITE 1051Fort Cavazos, TX 76544
Mailing Address1212 Leaning Oak LnGeorgetown, TX 78628-2544 · (847) 636-7612
Phone(254) 287-2705
Sole ProprietorNo
Enumeration DateJuly 12, 2017
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1598287484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in UT · 14181273-9926✔ Licensed in TX · 36616
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.
Also ListedDentistTaxonomy 122300000X · License D10680 (OR)
36000 SHOEMAKER LANE, Fort Cavazos, TX 76544
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12790 NW 188th Ave Ste AHillsboro, OR 97124-7449 · Phone (503) 844-0700
Location 21135 W University AveGeorgetown, TX 78628-5313 · Phone (512) 240-6623

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Alexander Y 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 76544 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 20

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

VINCENT FERRETTI DDS
Dentist
36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544
Bell County (254) 286-7402
JASON LY-LEE DDS
Dentist
36000 SHOEMAKER LANE, US DENTAL HEALTH ACTIVITY FT HOOD. SUITE 1051
FORT HOOD, TX 76544
Bell County (254) 287-3105
CHAUNCEY L FLOWERS
Dental Hygienist
36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544
Bell County (813) 510-0471
DR. TREVOR JON SCHENK DMD
Dentist
36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544
Bell County (443) 309-0083
DR. ILBERT BOURANG DMD
Dentist
36000 SHOEMAKER LANE, SUITE 1051
FORT HOOD, TX 76544
Bell County (254) 287-3105
DR. DONDRA ALEXIS FERGERSON DDS
Dentist
36000 SHOEMAKER LANE, SUITE 1051
FORT CAVAZOS, TX 76544
Bell County (254) 287-2705
DR. JAY ROSAMOND OWENS III DDS
Dentist (General Practice)
36000 SHOEMAKER LANE
FT CAVAZOS, TX 76544
Bell County (254) 287-8887
DR. CLAIRE MAUREEN REILLY DMD
Dentist
36000 SHOEMAKER LANE, SUITE 1051
FORT HOOD, TX 76544
Bell County (443) 309-0083

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 Alexander Kim's NPI number?

The NPI number for Alexander Kim is 1598287484. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Alexander Kim located?

Alexander Kim practices at 36000 Shoemaker Lane Suite 1051, Fort Cavazos, TX 76544. The listed phone number is (254) 287-2705.

What is Alexander Kim's specialty?

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

Is Alexander Kim enrolled in Medicare?

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

What insurance does Alexander Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Alexander 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 Alexander Kim was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.