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HAESUNG KIM D.D.S.
NPI 1740461417
Dentist - General Practice in Anaheim, CA

Active since November 21, 2007PECOS Enrolled
101 E LINCOLN AVE, STE. 100, ANAHEIM, CA 92805(714) 535-0192(714) 535-7494 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Haesung Kim D.d.s. NPPES

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

HAESUNG KIM D.D.S. (NPI 1740461417) is an individual general practice provider in Anaheim, California, licensed in California (47493) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740461417
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameHAESUNG KIMCredential: D.D.S.
Location Address101 E LINCOLN AVE, STE. 100Anaheim, CA 92805-3202
Mailing Address101 E Lincoln Ave, Ste. 100Anaheim, CA 92805-3202 · (714) 535-0192 · Fax (714) 535-7494
Phone(714) 535-0192
Fax(714) 535-7494
Sole ProprietorNo
Enumeration DateNovember 21, 2007
✔ NPI 1740461417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 47493
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.
101 E LINCOLN AVE, Anaheim, CA 92805
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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, BEST Life, Blue Cross and Blue Shield of Alabama 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)

Haesung 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 92805 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 7

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

RICHARD JUNG YONG D.D.S.
Dentist (General Practice)
101 E LINCOLN AVE, SUITE 100
ANAHEIM, CA 92805
Orange County (714) 535-0192
YONG AND KIM DENTAL CORP.
Dentist (General Practice)
101 E LINCOLN AVE, STE.100
ANAHEIM, CA 92805
Orange County (714) 535-0192
RIKKI L GLANTZ ASCW
Social Worker
101 E LINCOLN AVE
ANAHEIM, CA 92805
Orange County (415) 244-8269
ERIC J KAWATA O D INC
Optometrist
101 E LINCOLN AVE, SUITE 103
ANAHEIM, CA 92805
Orange County (714) 535-7515
DR. DOUG R. MATTHEWS PH.D.
Psychologist
101 E LINCOLN AVE, SUITE 230
ANAHEIM, CA 92805
Orange County (714) 778-1863
CANDICE HUI-YUN LEE
Dentist (General Practice)
101 E LINCOLN AVE, SUITE 105
ANAHEIM, CA 92805
Orange County (714) 774-7761
PRITI P PATEL RPT
Physical Therapist
101 E LINCOLN AVE, SUITE 111
ANAHEIM, CA 92805
Orange County (714) 771-6502

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 Haesung Kim's NPI number?

The NPI number for Haesung Kim is 1740461417. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Haesung Kim located?

Haesung Kim practices at 101 E Lincoln Ave Ste. 100, Anaheim, CA 92805. The listed phone number is (714) 535-0192.

What is Haesung Kim's specialty?

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

Is Haesung Kim enrolled in Medicare?

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

What insurance does Haesung Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Haesung 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 Haesung Kim was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.