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BRYAN KIM DDS INC
NPI 1689142648
Clinic/Center - Dental in Mission Viejo, CA

Active since November 08, 2018
26440 LA ALAMEDA STE 320, MISSION VIEJO, CA 92691(949) 445-1234(949) 445-1337 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2023, Jul 14, 2020, Nov 8, 2018 (3 updates tracked since 2018).

About Bryan Kim Dds Inc NPPES

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

BRYAN KIM DDS INC (NPI 1689142648) is a healthcare organization registered as a dental in Mission Viejo, California and active in the NPI registry since November 2018. The organization lists Bryan Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1689142648
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBRYAN KIM DDS INC
Location Address26440 LA ALAMEDA STE 320Mission Viejo, CA 92691-6304
Mailing Address26440 La Alameda Ste 320Mission Viejo, CA 92691-6304 · (949) 445-1234 · Fax (949) 445-1337
Phone(949) 445-1234
Fax(949) 445-1337
Organization SubpartNo
Authorized OfficialBryan KimOwner · (909) 839-3685
Enumeration DateNovember 8, 2018
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1689142648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
26440 LA ALAMEDA STE 320, Mission Viejo, CA 92691
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Kim Dds Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20191031001613DME · Oral Surgery - DentistDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bryan Kim DDS Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Kim, D.D.S.
Oral Surgery
NPI 1962893255
26440 LA ALAMEDA STE 320
Mission Viejo, CA 92691
(949) 445-1234
✔ PECOS✔ Accepts MedicareSame 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 Bryan Kim Dds Inc's NPI number?

The NPI number for Bryan Kim Dds Inc is 1689142648. It was assigned to this organization in the NPPES registry on November 8, 2018.

Where is Bryan Kim Dds Inc located?

Bryan Kim Dds Inc is located at 26440 La Alameda Ste 320, Mission Viejo, CA 92691. The listed phone number is (949) 445-1234.

What is Bryan Kim Dds Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Bryan Kim Dds Inc enrolled in Medicare?

Yes. Bryan Kim Dds Inc is registered in the Medicare PECOS enrollment system.

When is Bryan Kim Dds Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Oral Surgery - Dentist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bryan Kim Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Bryan Kim Dds 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.

When was this NPI record last updated?

The NPPES record for Bryan Kim Dds Inc was last updated on October 20, 2023. 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.