DR. PHIL JOE KIM DDS
NPI 1720064132
Dentist - Oral and Maxillofacial Surgery in Plano, TX

Q: What is Phil Kim's NPI number?

The NPI number for Phil Kim is 1720064132. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Q: What is Phil Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Phil Kim was last updated on December 14, 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 December 16, 2005PECOS Enrolled

4865 HEDGCOXE RD., STE. 300, PLANO, TX 75024(972) 505-2210(972) 505-2212 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Phil Joe Kim Dds NPPES

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

DR. PHIL JOE KIM DDS (NPI 1720064132) is an individual oral and maxillofacial surgery provider in Plano, Texas, licensed in Texas (19866) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720064132

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. PHIL JOE KIMCredential: DDS

Location Address4865 HEDGCOXE RD., STE. 300Plano, TX 75024

Mailing Address4865 Hedgcoxe Rd., Ste. 300Plano, TX 75024 · (972) 505-2210 · Fax (972) 505-2212

Phone(972) 505-2210

Fax(972) 505-2212

Sole ProprietorYes

Enumeration DateDecember 16, 2005

Last NPPES UpdateDecember 14, 2017

✔ NPI 1720064132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TX · 19866

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4865 HEDGCOXE RD., Plano, TX 75024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Dr. Phil Joe 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 75024 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 Phil Kim's NPI number?

The NPI number for Phil Kim is 1720064132. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Phil Kim located?

Phil Kim practices at 4865 Hedgcoxe Rd. Ste. 300, Plano, TX 75024. The listed phone number is (972) 505-2210.

What is Phil Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Phil Kim enrolled in Medicare?

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

What insurance does Phil Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Dominion National and 5 other insurers list Phil 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 Phil Kim was last updated on December 14, 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.