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SOPHIA KIM D.D.S.
NPI 1629324439
Dentist in Perris, CA

Active since July 30, 2012PECOS Enrolled
126 AVOCADO AVE STE 202, PERRIS, CA 92571(951) 940-0202 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sophia Kim D.d.s. NPPES

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

SOPHIA KIM D.D.S. (NPI 1629324439) is an individual dentist in Perris, California, licensed in California (61510) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fontana.

NPPES Registry Identity

NPI1629324439
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSOPHIA KIMCredential: D.D.S.
Location Address126 AVOCADO AVE STE 202Perris, CA 92571-2605
Mailing Address2120 S Glenwood AveColton, CA 92324-4802 · (909) 809-8873
Phone(951) 940-0202
Sole ProprietorNo
Enumeration DateJuly 30, 2012
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1629324439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 61510
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.
126 AVOCADO AVE STE 202, Perris, CA 92571
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Other Names 1

Other Name (5)Seulki Yang

Secondary Practice Location 1

Location 19810 Sierra Ave Ste DFontana, CA 92335-6779 · Phone (909) 429-9090

Accepted Insurance

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

Sophia Kim D.d.s. 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 92571 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

SOONHYUK CHANG DDS INC
Clinic/Center (Dental)
126 AVOCADO AVE STE 202
PERRIS, CA 92571
Riverside County (951) 940-0202
HANGIN CHO D.D.S
Dentist
126 AVOCADO AVE STE 202
PERRIS, CA 92571
Riverside County (951) 544-6838

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 Sophia Kim's NPI number?

The NPI number for Sophia Kim is 1629324439. It was assigned to this individual provider in the NPPES registry on July 30, 2012. The provider is also known as Seulki Yang.

Where is Sophia Kim located?

Sophia Kim practices at 126 Avocado Ave Ste 202, Perris, CA 92571. The listed phone number is (951) 940-0202.

What is Sophia Kim's specialty?

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

Is Sophia Kim enrolled in Medicare?

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

What insurance does Sophia Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Sophia 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 Sophia Kim was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.