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DR. KING KIM D.M.D.
NPI 1639358211
Dentist - Oral and Maxillofacial Surgery in Melbourne, FL

Active since October 30, 2007PECOS EnrolledAccepts Medicare Assignment
1325 S PINE ST, SUITE 102, MELBOURNE, FL 32901(321) 725-5377(321) 951-3393 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. King Kim D.m.d. NPPES

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

DR. KING KIM D.M.D. (NPI 1639358211) is an individual oral and maxillofacial surgery provider in Melbourne, Florida, licensed in Florida (DN182228) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1639358211
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KING KIMCredential: D.M.D.
Location Address1325 S PINE ST, SUITE 102Melbourne, FL 32901-3189
Mailing Address1325 S Pine St, Suite 102Melbourne, FL 32901-3189 · (321) 725-5377 · Fax (321) 951-3393
Phone(321) 725-5377
Fax(321) 951-3393
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateOctober 30, 2007
Last NPPES UpdateMay 19, 2014
✔ NPI 1639358211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN182228
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.

1325 S PINE ST, Melbourne, FL 32901
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Other Identifiers 2

Medicare PINFK119YFL
Other63A10FL · Blue Cross Blue Shield Of Florida

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Anthem Blue Cross and Blue Shield 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 and accepts Medicare assignment

Dr. King Kim D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436321874
PECOS Enrollment IDI20111007000466
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
21 services21 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
X-ray of jaw joints on both sides of mouth 70330
An X-ray of jaw joints on both sides of the mouth, also known as a TMJ X-ray, helps visualize the structure and condition of your jaw joints. This non-invasive procedure involves capturing images using a small amount of radiation. It aids in diagnosing issues like arthritis, dislocation, or other abnormalities in the jaw area.
16 services16 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 3

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

NEW IMAGE MAXILLOFACIAL LLC
Dentist (Oral and Maxillofacial Surgery)
1325 S PINE ST, SUITE 102
MELBOURNE, FL 32901
Brevard County (321) 725-5377
DR. RICHARD W SCHMID DDS
Dentist (Oral and Maxillofacial Surgery)
1325 S PINE ST, SUITE 102
MELBOURNE, FL 32901
Brevard County (321) 725-5377
RAY L POLLACK & ASSOCIATES DDS PA
Dentist (Pediatric Dentistry)
1325 S PINE ST, SUITE #103
MELBOURNE, FL 32901
Brevard County (321) 724-4520

Frequently Asked Questions

What is King Kim's NPI number?

The NPI number assigned to this healthcare provider is 1639358211, enumerated as an "individual" on October 30, 2007.

Where is the provider located?

The provider is located at 1325 S PINE ST SUITE 102 MELBOURNE, FL 32901 and the phone number is (321) 725-5377.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

What insurance does King Kim accept?

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.