DR. KIM'S DENTAL, INC
NPI 1649593971
Dentist - General Practice in Dallas, TX

Q: What is Dr. Kim's Dental, Inc's NPI number?

The NPI number for Dr. Kim's Dental, Inc is 1649593971. It was assigned to this organization in the NPPES registry on March 1, 2010.

Q: What is Dr. Kim's Dental, Inc's specialty?

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

Active since March 01, 2010

2216 ROYAL LN, 115, DALLAS, TX 75229(972) 243-0365(972) 247-0898 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Kim's Dental, Inc NPPES

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

DR. KIM'S DENTAL, INC (NPI 1649593971) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since March 2010. The organization lists Soon Ki Kim, President, as its authorized official.

NPPES Registry Identity

NPI1649593971

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDR. KIM'S DENTAL, INC

Location Address2216 ROYAL LN, 115Dallas, TX 75229-7814

Mailing Address2216 Royal Ln, 115Dallas, TX 75229-7814 · (972) 243-0365 · Fax (972) 247-0898

Phone(972) 243-0365

Fax(972) 247-0898

Organization SubpartNo

Authorized OfficialSoon Ki KimPresident · (972) 399-1466

Enumeration DateMarch 1, 2010

Last NPPES UpdateSeptember 17, 2013

✔ NPI 1649593971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 23100

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.

2216 ROYAL LN, Dallas, TX 75229

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim's Dental, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Kim's Dental, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Soonki Kim, DDS

Oral Surgery

NPI 1225151186

2216 ROYAL LN STE 115
Dallas, TX 75229

(972) 243-0365

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr. Kim's Dental, Inc's NPI number?

The NPI number for Dr. Kim's Dental, Inc is 1649593971. It was assigned to this organization in the NPPES registry on March 1, 2010.

Where is Dr. Kim's Dental, Inc located?

Dr. Kim's Dental, Inc is located at 2216 Royal Ln 115, Dallas, TX 75229. The listed phone number is (972) 243-0365.

What is Dr. Kim's Dental, Inc's specialty?

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

Is Dr. Kim's Dental, Inc enrolled in Medicare?

Yes. Dr. Kim's Dental, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Kim's Dental, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Dr. Kim's Dental, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. Kim's Dental, Inc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Dr. Kim's Dental, Inc 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 Dr. Kim's Dental, Inc was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.