SUNG KWANG KIM D.D.S.
NPI 1699108563
Dentist - General Practice in Bronx, NY

Q: What is Sung Kwang Kim's NPI number?

The NPI number for Sung Kwang Kim is 1699108563. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Q: What is Sung Kwang Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sung Kwang Kim was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 15, 2013PECOS Enrolled

2740 3RD AVE, BRONX, NY 10455(917) 263-1604 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2019, Aug 10, 2018, Dec 15, 2015 (3 updates tracked since 2015).

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About Sung Kwang Kim D.d.s. NPPES

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

SUNG KWANG KIM D.D.S. (NPI 1699108563) is an individual general practice provider in Bronx, New York, licensed in New York (059693) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699108563

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSUNG KWANG KIMCredential: D.D.S.

Location Address2740 3RD AVEBronx, NY 10455-4036

Mailing Address2740 3rd AveBronx, NY 10455-4036 · (718) 618-0162 · Fax (718) 618-0173

Phone(917) 263-1604

Sole ProprietorYes

Enumeration DateAugust 15, 2013

Last NPPES UpdateJanuary 16, 20193 updates tracked since enumeration

✔ NPI 1699108563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 059693

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2740 3RD AVE, Bronx, NY 10455

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Other Identifiers 2

Medicaid05315619NY

Other13867803Caqh

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)

Sung Kwang 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 10455 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 3

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

HARVEY SCHILOWITZ, D.D.S.

Dentist (General Practice)

2740 3RD AVE
BRONX, NY 10455

Bronx County (718) 618-0162

THIRD AVENUE BRONX DENTAL PC

Clinic/Center (Dental)

2740 3RD AVE
BRONX, NY 10455

Bronx County (718) 618-0162

BIG MART PHARMACY INC

Pharmacy (Community/Retail Pharmacy)

2740 3RD AVE
BRONX, NY 10455

Bronx County (718) 292-3116

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 Sung Kwang Kim's NPI number?

The NPI number for Sung Kwang Kim is 1699108563. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is Sung Kwang Kim located?

Sung Kwang Kim practices at 2740 3rd Ave, Bronx, NY 10455. The listed phone number is (917) 263-1604.

What is Sung Kwang Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sung Kwang Kim enrolled in Medicare?

Yes. Sung Kwang Kim is registered in the Medicare PECOS enrollment system.

What insurance does Sung Kwang 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 Sung Kwang 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 Sung Kwang Kim was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.