HAE SUK KIM DDS
NPI 1699025270
Dentist in La Habra, CA

Q: What is Hae Suk Kim's NPI number?

The NPI number for Hae Suk Kim is 1699025270. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Q: What is Hae Suk 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 Hae Suk Kim was last updated on December 28, 2017. 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 September 11, 2012PECOS Enrolled

1301 S BEACH BLVD, STE G, LA HABRA, CA 90631(562) 448-3976 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hae Suk Kim Dds NPPES

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

HAE SUK KIM DDS (NPI 1699025270) is an individual dentist in La Habra, California, licensed in California (61888) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699025270

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameHAE SUK KIMCredential: DDS

Location Address1301 S BEACH BLVD, STE GLa Habra, CA 90631-1115

Mailing Address1301 S Beach Blvd, Ste GLa Habra, CA 90631-1115 · (562) 448-3976

Phone(562) 448-3976

Sole ProprietorNo

Enumeration DateSeptember 11, 2012

Last NPPES UpdateDecember 28, 2017

✔ NPI 1699025270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 61888

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.

1301 S BEACH BLVD, La Habra, CA 90631

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hae Suk Kim Dds 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 90631 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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 2

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

YON KYONG PAE

Pharmacist

1301 S BEACH BLVD, STE K
LA HABRA, CA 90631

Orange County (562) 947-8811

SUSAN HAE SUK KIM DDS INC

Dentist (General Practice)

1301 S BEACH BLVD, UNIT G
LA HABRA, CA 90631

Orange County (951) 790-7496

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 Hae Suk Kim's NPI number?

The NPI number for Hae Suk Kim is 1699025270. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Hae Suk Kim located?

Hae Suk Kim practices at 1301 S Beach Blvd Ste G, La Habra, CA 90631. The listed phone number is (562) 448-3976.

What is Hae Suk Kim's specialty?

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

Is Hae Suk Kim enrolled in Medicare?

Yes. Hae Suk Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hae Suk Kim was last updated on December 28, 2017. 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.