THERESA KIM DMD
NPI 1639756224
Dentist - General Practice in Pittsburg, CA

Q: What is Theresa Kim's NPI number?

The NPI number for Theresa Kim is 1639756224. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Theresa 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 Theresa Kim was last updated on September 27, 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.

Active since March 28, 2021PECOS Enrolled

339 E LELAND RD, PITTSBURG, CA 94565(925) 363-2000 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2022, Mar 28, 2021 (2 updates tracked since 2021).

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About Theresa Kim Dmd NPPES

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

THERESA KIM DMD (NPI 1639756224) is an individual general practice provider in Pittsburg, California, licensed in California (108165) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639756224

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameTHERESA KIMCredential: DMD

Location Address339 E LELAND RDPittsburg, CA 94565-4911

Mailing Address638 55th StOakland, CA 94609-1602 · (503) 997-3968

Phone(925) 363-2000

Sole ProprietorYes

Enumeration DateMarch 28, 2021

Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1639756224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 108165

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

339 E LELAND RD, Pittsburg, CA 94565

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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)

Theresa 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 94565 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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 9

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

SIAVASH GHADIRI ZAHRANI DDS

Student in an Organized Health Care Education/Training Program