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DR. JENNIFER KIM
NPI 1730500893
Dentist in Buena Park, CA

Active since December 16, 2013PECOS Enrolled
5300 BEACH BLVD, SUITE #109, BUENA PARK, CA 90621(714) 522-3734 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Kim NPPES

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

DR. JENNIFER KIM (NPI 1730500893) is an individual dentist in Buena Park, California, licensed in California (62877) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730500893
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNIFER KIM
Location Address5300 BEACH BLVD, SUITE #109Buena Park, CA 90621-1250
Mailing Address5300 Beach Blvd, Suite #109Buena Park, CA 90621-1250
Phone(714) 522-3734
Sole ProprietorNo
Enumeration DateDecember 16, 2013
✔ NPI 1730500893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 62877
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.
5300 BEACH BLVD, Buena Park, CA 90621
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Jennifer Kim 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 90621 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 3

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

VINCENT DAT NGUYEN INC.
Family Medicine
5300 BEACH BLVD, 110-428
BUENA PARK, CA 90621
Orange County (714) 267-7000
ALLEN CHOI O.D.
Optometrist
5300 BEACH BLVD, SUITE 114
BUENA PARK, CA 90621
Orange County (714) 521-1133
MR. YOUNG RYUL KIM DDS
Dentist
5300 BEACH BLVD, #109
BUENA PARK, CA 90621
Orange County (714) 522-3734

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 Jennifer Kim's NPI number?

The NPI number for Jennifer Kim is 1730500893. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Jennifer Kim located?

Jennifer Kim practices at 5300 Beach Blvd Suite #109, Buena Park, CA 90621. The listed phone number is (714) 522-3734.

What is Jennifer Kim's specialty?

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

Is Jennifer Kim enrolled in Medicare?

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

What insurance does Jennifer Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jennifer 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 Jennifer Kim was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.