JEAN H KIM DDS
NPI 1720165632
Dentist in Youngstown, OH

Q: What is Jean Kim's NPI number?

The NPI number for Jean Kim is 1720165632. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Jean 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 Jean Kim was last updated on February 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 01, 2006PECOS Enrolled

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-3689(330) 480-2904 Get Directions Write a Review

NPPES record last updated: February 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2017, Oct 2, 2015 (2 updates tracked since 2015).

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About Jean H Kim Dds NPPES

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

JEAN H KIM DDS (NPI 1720165632) is an individual dentist in Youngstown, Ohio, licensed in Ohio (30020016) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720165632

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJEAN H KIMCredential: DDS

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing Address1044 Belmont AveYoungstown, OH 44504-1006 · (330) 480-3689 · Fax (330) 480-2904

Phone(330) 480-3689

Fax(330) 480-2904

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateFebruary 5, 20172 updates tracked since enumeration

✔ NPI 1720165632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30020016

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.

1044 BELMONT AVE, Youngstown, OH 44504

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Other Identifiers 2

Medicare UPINV03325

Medicaid0134661OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean H 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.

Medicare Billing Reassignment

Medicare enrollment records show Jean Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Youngstown Specialty Care LLC

0.1 mi

Dentist

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1609544055 (330) 746-7211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

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