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DR. KIM SHOPP HASKELL D.D.S.
NPI 1780865147
Dentist in Upper Marlboro, MD

Active since November 14, 2007PECOS Enrolled
14414 OLD MILL RD, #101, UPPER MARLBORO, MD 20772(301) 627-6646(301) 627-4996 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kim Shopp Haskell D.d.s. NPPES

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

DR. KIM SHOPP HASKELL D.D.S. (NPI 1780865147) is an individual dentist in Upper Marlboro, Maryland, licensed in Maryland (07923) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780865147
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KIM SHOPP HASKELLCredential: D.D.S.
Location Address14414 OLD MILL RD, #101Upper Marlboro, MD 20772-3069
Mailing Address14414 Old Mill Rd, #101Upper Marlboro, MD 20772-3069 · (301) 627-6646 · Fax (301) 627-4996
Phone(301) 627-6646
Fax(301) 627-4996
Sole ProprietorYes
Enumeration DateNovember 14, 2007
Last NPPES UpdateJanuary 18, 2016
✔ NPI 1780865147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 07923
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.
14414 OLD MILL RD, Upper Marlboro, MD 20772
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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.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. Kim Shopp Haskell 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 20772 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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

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

DR. SUNG HOON JUN DDS
Dentist (General Practice)
14414 OLD MILL RD, SUITE 101
UPPER MARLBORO, MD 20772
Prince George's County (301) 627-6646

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 Kim Haskell's NPI number?

The NPI number for Kim Haskell is 1780865147. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Kim Haskell located?

Kim Haskell practices at 14414 Old Mill Rd #101, Upper Marlboro, MD 20772. The listed phone number is (301) 627-6646.

What is Kim Haskell's specialty?

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

Is Kim Haskell enrolled in Medicare?

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

What insurance does Kim Haskell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kim Haskell 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 Kim Haskell was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.