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DR. JENNIFER KIM
NPI 1689055030
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since June 11, 2015PECOS Enrolled
240 GEIGER RD, PHILADELPHIA, PA 19115(302) 632-3177 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2020, May 21, 2019, Jun 22, 2017 (3 updates tracked since 2017).

About Dr. Jennifer Kim NPPES

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

DR. JENNIFER KIM (NPI 1689055030) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS041641) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689055030
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JENNIFER KIM
Location Address240 GEIGER RDPhiladelphia, PA 19115-1008
Mailing Address932 N Marshall St Apt 1Philadelphia, PA 19123-1345 · (302) 632-3177
Phone(302) 632-3177
Sole ProprietorYes
Enumeration DateJune 11, 2015
Last NPPES UpdateAugust 28, 20203 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1689055030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in PA · DS041641✔ Licensed in NJ · 22DI02674500
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
240 GEIGER RD, Philadelphia, PA 19115
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Accepted Insurance

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

Dr. Jennifer Kim 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 19115 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

ANTHONY DALLY DMD
Dentist
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0380
JULIA MAYZENBERG DMD
Dentist (Pediatric Dentistry)
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (215) 464-2411
DR. JULIANNA KOPAKOWSKI DMD
Dentist (Pediatric Dentistry)
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (203) 688-4242
DR. MEREDITH ANN JONES DMD
Dentist (Pediatric Dentistry)
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (215) 667-0380
RED LION SURGICENTER, LLC
Clinic/Center (Ambulatory Surgical)
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (215) 464-2411
NATALIE HOANG TANG DMD
Dentist (Pediatric Dentistry)
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (215) 676-2311
SERENA M COLLETTI DDS
Dentist (Endodontics)
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (610) 405-1768
MEGUMI KONDO CORLEY DMD
Dentist
240 GEIGER RD
PHILADELPHIA, PA 19115
Philadelphia County (215) 677-0380

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1689055030. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Jennifer Kim located?

Jennifer Kim practices at 240 Geiger Rd, Philadelphia, PA 19115. The listed phone number is (302) 632-3177.

What is Jennifer Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jennifer Kim enrolled in Medicare?

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

What insurance does Jennifer Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jennifer 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 Jennifer Kim was last updated on August 28, 2020. 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.