ERIN KIM D.D.S.
NPI 1699021071
Dentist in Tracy, CA

Q: What is Erin Kim's NPI number?

The NPI number for Erin Kim is 1699021071. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Q: What is Erin Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Kim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 03, 2012PECOS Enrolled

2663 NAGLEE RD, TRACY, CA 95304(209) 836-4950 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Erin Kim D.d.s. NPPES

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

ERIN KIM D.D.S. (NPI 1699021071) is an individual dentist in Tracy, California, licensed in California (61663) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bakersfield.

NPPES Registry Identity

NPI1699021071

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameERIN KIMCredential: D.D.S.

Location Address2663 NAGLEE RDTracy, CA 95304-7317

Mailing Address716 S Vecindad StMountain House, CA 95391-1084

Phone(209) 836-4950

Sole ProprietorNo

Enumeration DateAugust 3, 2012

Last NPPES UpdateMarch 17, 2018

✔ NPI 1699021071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 61663

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2663 NAGLEE RD, Tracy, CA 95304

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Secondary Practice Location 1

Location 13833 Ming AveBakersfield, CA 93309-5052 · Phone (661) 831-5437

Other Identifiers 1

Medicaid1699021071CA

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)

Erin Kim D.d.s. 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 95304 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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 Erin Kim's NPI number?

The NPI number for Erin Kim is 1699021071. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Erin Kim located?

Erin Kim practices at 2663 Naglee Rd, Tracy, CA 95304. The listed phone number is (209) 836-4950.

What is Erin Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Erin Kim enrolled in Medicare?

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

What insurance does Erin 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 4 other insurers list Erin 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 Erin Kim was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.