HYUNJI KIM DMD
NPI 1639557739
Dentist - General Practice in Los Angeles, CA

Q: What is Hyunji Kim's NPI number?

The NPI number for Hyunji Kim is 1639557739. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Hyunji Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hyunji Kim was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 11, 2015PECOS Enrolled

1120 S GRAND AVE APT 1216, LOS ANGELES, CA 90015(913) 306-1281 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 23, 2021, May 13, 2021, Aug 9, 2019 and 2 more (5 updates tracked since 2017).

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About Hyunji Kim Dmd NPPES

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

HYUNJI KIM DMD (NPI 1639557739) is an individual general practice provider in Los Angeles, California, licensed in California (DDS105848) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639557739

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameHYUNJI KIMCredential: DMD

Location Address1120 S GRAND AVE APT 1216Los Angeles, CA 90015-4388

Mailing Address1120 S Grand Ave Apt 1216Los Angeles, CA 90015-4388 · (913) 306-1281

Phone(913) 306-1281

Sole ProprietorNo

Enumeration DateMay 11, 2015

Last NPPES UpdateJune 23, 20215 updates tracked since enumeration

NPPES CertifiedJune 23, 2021

✔ NPI 1639557739 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 CA · DDS105848✔ Licensed in CA · 105848

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 DN1857629 (MA)

1120 S GRAND AVE APT 1216, Los Angeles, CA 90015

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Other Identifiers 1

Other1639557739MA · Npi

Accepted Insurance

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

Hyunji Kim Dmd 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 90015 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Hyunji Kim's NPI number?

The NPI number for Hyunji Kim is 1639557739. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Hyunji Kim located?

Hyunji Kim practices at 1120 S Grand Ave Apt 1216, Los Angeles, CA 90015. The listed phone number is (913) 306-1281.

What is Hyunji Kim's specialty?

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

Is Hyunji Kim enrolled in Medicare?

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

What insurance does Hyunji Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Hyunji 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 Hyunji Kim was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.