1. Home
  2. Directory
  3. California
  4. Lake Forest
  5. Dentist
  6. NPI Profile

DR. SEAN KIM D.D.S.
NPI 1790099174
Dentist - General Practice in Lake Forest, CA

Active since July 28, 2010PECOS Enrolled
23772 MERCURY RD, LAKE FOREST, CA 92630(213) 713-7922 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sean Kim D.d.s. NPPES

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

DR. SEAN KIM D.D.S. (NPI 1790099174) is an individual general practice provider in Lake Forest, California, licensed in California (61028) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790099174
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SEAN KIMCredential: D.D.S.
Location Address23772 MERCURY RDLake Forest, CA 92630-2810
Mailing Address131 WinnettIrvine, CA 92602-1908 · (213) 713-7922
Phone(213) 713-7922
Sole ProprietorNo
Enumeration DateJuly 28, 2010
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1790099174 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 · 61028
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.
23772 MERCURY RD, Lake Forest, CA 92630
Open in Google Maps ↗

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 Montana 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. Sean 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 92630 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

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

SEAN SANGHOON KIM DDS
Clinic/Center (Dental)
23772 MERCURY RD
LAKE FOREST, CA 92630
Orange County (949) 340-0266

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 Sean Kim's NPI number?

The NPI number for Sean Kim is 1790099174. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Sean Kim located?

Sean Kim practices at 23772 Mercury Rd, Lake Forest, CA 92630. The listed phone number is (213) 713-7922.

What is Sean Kim's specialty?

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

Is Sean Kim enrolled in Medicare?

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

What insurance does Sean Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Sean 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 Sean Kim was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.