MYUNG DAVID KIM DMD
NPI 1770660664
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

Q: What is Myung Kim's NPI number?

The NPI number for Myung Kim is 1770660664. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Myung Kim's specialty?

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

Q: Is Myung Kim enrolled in Medicare?

No. Myung Kim has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Myung Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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, 2006Opted out of Medicare · through Apr 15, 2028

1335 W TABOR RD, SUITE 307, PHILADELPHIA, PA 19141(215) 224-7757(215) 424-8103 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Myung David Kim Dmd NPPES

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

MYUNG DAVID KIM DMD (NPI 1770660664) is an individual oral and maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (D028558) and active in the NPI registry since November 2006. He has opted out of Medicare through April 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770660664

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMYUNG DAVID KIMCredential: DMD

Location Address1335 W TABOR RD, SUITE 307Philadelphia, PA 19141

Mailing Address1335 W Tabor Rd, Suite 307Philadelphia, PA 19141 · (215) 224-7757 · Fax (215) 424-8103

Phone(215) 224-7757

Fax(215) 424-8103

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770660664 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 PA · D028558

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.

1335 W TABOR RD, Philadelphia, PA 19141

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Other Identifiers 2

Medicare UPINT27903

Medicare ID-Type UnspecifiedR061742PA · Group #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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

ⓘ

Opted out of Medicare

Myung David Kim Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2026 through April 15, 2028.

Opt-Out Effective DateApril 15, 2026

Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

CENTER CITY MEDICAL CENTER

Chiropractor

1335 W TABOR RD, SUITE 205
PHILADELPHIA, PA 19141

Philadelphia County (215) 924-6210

DR. TODD MICHAEL LEVINE D.C

Chiropractor

1335 W TABOR RD, SUITE 211
PHILADELPHIA, PA 19141

Philadelphia County (917) 701-4510

DR. BERNARD NORMAN ROTHMAN DDS

Dentist (Oral and Maxillofacial Surgery)

1335 W TABOR RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 224-7757

BERGER &BENJAMIN LLP

Obstetrics & Gynecology (Gynecology)

1335 W TABOR RD, SUITE 201
PHILA, PA 19141

Philadelphia County (215) 424-0222

EARL R BROWN MD PC

Family Medicine

1335 W TABOR RD, SUITE 110
PHILADELPHIA, PA 19141

Philadelphia County (215) 224-3499

DR. EARL R BROWN MD

Family Medicine

1335 W TABOR RD, SUITE 110
PHILADELPHIA, PA 19141

Philadelphia County (215) 224-3499

GAUTAM GOVITRIKAR

Dentist

1335 W TABOR RD, 105
PHILADELPHIA, PA 19141

Philadelphia County (215) 548-8080

DR. RICHARD RETTIG D.P.M.

Podiatrist (Foot Surgery)

1335 W TABOR RD, STE 206
PHILADELPHIA, PA 19141

Philadelphia County (215) 927-2837

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 Myung Kim's NPI number?

The NPI number for Myung Kim is 1770660664. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Myung Kim located?

Myung Kim practices at 1335 W Tabor Rd Suite 307, Philadelphia, PA 19141. The listed phone number is (215) 224-7757.

What is Myung Kim's specialty?

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

Is Myung Kim enrolled in Medicare?

No. Myung Kim has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Myung Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Myung 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 Myung Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.