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

Q: What is King Kim's NPI number?

The NPI number for King Kim is 1639358211. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Q: What is King Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for King Kim was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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: August 16, 2026.

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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 2

Services this provider delivered to Medicare fee-for-service patients, from the 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 with low level of medical decision making, if using time, 30 minutes or more 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.

38 services38 patients

Removal of growth of mouth with simple repair 40812

This procedure involves the surgical removal of an abnormal growth in the mouth. After the growth is removed, a simple repair is done to heal the area. This can include stitches or other methods to close the wound, promoting quick and effective healing.

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

RAY L POLLACK & ASSOCIATES DDS PA

Dentist (Pediatric Dentistry)

1325 S PINE ST, SUITE #103
MELBOURNE, FL 32901

Brevard County (321) 724-4520

DR. RICHARD W SCHMID DDS

Dentist (Oral and Maxillofacial Surgery)

1325 S PINE ST, SUITE 102
MELBOURNE, FL 32901

Brevard County (321) 725-5377

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 King Kim's NPI number?

The NPI number for King Kim is 1639358211. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is King Kim located?

King Kim practices at 1325 S Pine St Suite 102, Melbourne, FL 32901. The listed phone number is (321) 725-5377.

What is King Kim's specialty?

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

Is King Kim enrolled in Medicare?

Yes. King Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does King Kim accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 11 other insurers list King 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 King Kim was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.