DR. DIANE JEONG KIM DDS
NPI 1750939047
Dentist in Humble, TX
About Dr. Diane Jeong Kim Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIANE JEONG KIM DDS (NPI 1750939047) is an individual dentist in Humble, Texas, licensed in Texas (35657) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Diane Jeong Kim Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Diane Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
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 77338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Diane Kim's NPI number?
The NPI number for Diane Kim is 1750939047. It was assigned to this individual provider in the NPPES registry on August 29, 2019.
Where is Diane Kim located?
Diane Kim practices at 19725 Highway 59 N, Humble, TX 77338. The listed phone number is (281) 972-8000.
What is Diane Kim's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Diane Kim enrolled in Medicare?
Yes. Diane Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Diane Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diane Kim reassigns Medicare benefits to Diane Kim DDS PLLC (Humble, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diane Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diane 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 Cigna Healthcare and 6 other insurers list Diane 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 Diane Kim was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Diane Jeong Kim, DDS · NPI 1750939047
Dentist provider in Humble, Texas. Individual provider, active in the CMS NPPES registry since August 29, 2019.
## Identity
- **NPI:** 1750939047 (Entity type: Individual)
- **Enumerated:** August 29, 2019
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 35657 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 19725 HIGHWAY 59 N, Humble, TX 77338-3566
- **Phone:** (281) 972-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Diane Kim DDS PLLC (NPI 1023778768, Humble, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1750939047) · Data from the CMS NPPES public registry.