GYEONGWON KIM
NPI 1669030391
Dentist - Oral and Maxillofacial Surgery in Cockeysville, MD
About Gyeongwon Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GYEONGWON KIM (NPI 1669030391) is an individual oral and maxillofacial surgery provider in Cockeysville, Maryland, licensed in Maryland (17951) and active in the NPI registry since May 2019. He has opted out of Medicare through October 4, 2027.
NPPES Registry Identity
Specialties & Licenses
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Gyeongwon Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2023 through October 4, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COCKEYSVILLE, MD 21030
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 Gyeongwon Kim's NPI number?
The NPI number for Gyeongwon Kim is 1669030391. It was assigned to this individual provider in the NPPES registry on May 29, 2019.
Where is Gyeongwon Kim located?
Gyeongwon Kim practices at 10 Warren Rd Ste 330, Cockeysville, MD 21030. The listed phone number is (410) 666-5225.
What is Gyeongwon Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Gyeongwon Kim enrolled in Medicare?
No. Gyeongwon Kim has opted out of Medicare through October 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Gyeongwon Kim accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Gyeongwon 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 Gyeongwon Kim was last updated on March 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
