PRIME DENTAL GROUP DR KIM
NPI 1689198806
Clinic/Center - Dental in Garden Grove, CA
About Prime Dental Group Dr Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME DENTAL GROUP DR KIM (NPI 1689198806) is a healthcare organization registered as a dental in Garden Grove, California and active in the NPI registry since July 2017. The organization lists Seung Hwan Kim, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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)
Prime Dental Group Dr Kim 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 Prime Dental Group Dr Kim, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Seung Hwan Kim, Dds, Inc's NPI number?
The NPI number for Seung Hwan Kim, Dds, Inc is 1689198806. It was assigned to this organization in the NPPES registry on July 30, 2017. The provider is doing business as Prime Dental Group Dr Kim.
Where is Seung Hwan Kim, Dds, Inc located?
Seung Hwan Kim, Dds, Inc is located at 13252 Century Blvd Ste Q, Garden Grove, CA 92843. The listed phone number is (714) 591-5190.
What is Seung Hwan Kim, Dds, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Seung Hwan Kim, Dds, Inc enrolled in Medicare?
Yes. Seung Hwan Kim, Dds, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Seung Hwan Kim, Dds, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Seung Hwan 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.
What insurance does Seung Hwan Kim, Dds, Inc accept?
Health plans from UnitedHealthcare list Seung Hwan Kim, Dds, 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 Seung Hwan Kim, Dds, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Prime Dental Group Dr Kim · NPI 1689198806
Dental organization in Garden Grove, California. Organization record, active in the CMS NPPES registry since July 30, 2017.
## Identity
- **NPI:** 1689198806 (Entity type: Organization)
- **Enumerated:** July 30, 2017
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Legal business name:** Seung Hwan Kim, Dds, Inc
- **Organization subpart:** No
- **Authorized official:** Seung Hwan Kim, OWNER
## Practice location
- **Address:** 13252 CENTURY BLVD STE Q, Garden Grove, CA 92843-1257
- **Phone:** (714) 591-5190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1689198806) · Data from the CMS NPPES public registry.