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DR. YOUNG TAE SHIM DMD
NPI 1790011609
Dentist in Duluth, GA

Active since October 27, 2009PECOS Enrolled
2925 PREMIERE PKWY STE 175B, DULUTH, GA 30097(404) 910-9060 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Young Tae Shim Dmd NPPES

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

DR. YOUNG TAE SHIM DMD (NPI 1790011609) is an individual dentist in Duluth, Georgia, licensed in Texas (31033) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790011609
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. YOUNG TAE SHIMCredential: DMD
Location Address2925 PREMIERE PKWY STE 175BDuluth, GA 30097-5258
Mailing Address2953 Springbluff LnBuford, GA 30519-4195 · (404) 512-0760
Phone(404) 910-9060
Sole ProprietorYes
Enumeration DateOctober 27, 2009
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1790011609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in TX · 31033✔ Licensed in GA · DN13999
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.
2925 PREMIERE PKWY STE 175B, Duluth, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Young Tae Shim Dmd 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 30097 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Young Shim's NPI number?

The NPI number for Young Shim is 1790011609. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Where is Young Shim located?

Young Shim practices at 2925 Premiere Pkwy Ste 175B, Duluth, GA 30097. The listed phone number is (404) 910-9060.

What is Young Shim's specialty?

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

Is Young Shim enrolled in Medicare?

Yes. Young Shim is registered in the Medicare PECOS enrollment system.

What insurance does Young Shim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Young Shim 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 Young Shim was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.