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DR. JOHN P KIM DDS
NPI 1629089198
Dentist - Periodontics in Rocky Mount, NC

Active since August 10, 2006PECOS Enrolled
400 PEACHTREE STREET, ROCKY MOUNT, NC 27804(252) 446-0400(252) 977-2341 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John P Kim Dds NPPES

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

DR. JOHN P KIM DDS (NPI 1629089198) is an individual periodontics provider in Rocky Mount, North Carolina, licensed in North Carolina (7839) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629089198
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOHN P KIMCredential: DDS
Location Address400 PEACHTREE STREETRocky Mount, NC 27804
Mailing Address400 Peachtree StreetRocky Mount, NC 27804 · (252) 446-0400 · Fax (252) 977-2341
Phone(252) 446-0400
Fax(252) 977-2341
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629089198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NC · 7839
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
400 PEACHTREE STREET, Rocky Mount, NC 27804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John P 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 27804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 2

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

DR. HARDIN WINSLOW ROGERS III DDS MS PA
Dentist
400 PEACHTREE STREET
ROCKY MOUNT, NC 27804
Nash County (252) 446-0117
JENNIFER TEDDER, DDS, PA
Dentist (Endodontics)
400 PEACHTREE STREET
ROCKY MOUNT, NC 27804
Nash County (252) 985-3636

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 John Kim's NPI number?

The NPI number for John Kim is 1629089198. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is John Kim located?

John Kim practices at 400 Peachtree Street, Rocky Mount, NC 27804. The listed phone number is (252) 446-0400.

What is John Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is John Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.