DR. NANCY S KIM DDS
NPI 1790901593
Dentist - Periodontics in New York, NY

Active since April 18, 2007PECOS Enrolled
115 E 61ST ST, 14TH FLOOR, NEW YORK, NY 10065(212) 838-7219 Get Directions Write a Review

NPPES record last updated: December 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nancy S Kim Dds NPPES

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

DR. NANCY S KIM DDS (NPI 1790901593) is an individual periodontics provider in New York, New York, licensed in New York (051284-1) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790901593
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. NANCY S KIMCredential: DDS
Location Address115 E 61ST ST, 14TH FLOORNew York, NY 10065-8183
Mailing Address37 W 21st St, #608New York, NY 10010-8500 · (212) 838-7219
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateDecember 27, 2010
NPI 1790901593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NY · 051284-1
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
115 E 61ST ST, New York, NY 10065

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. Nancy S Kim Dds 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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Ophthalmology
115 E 61ST ST
NEW YORK, NY 10065
Podiatrist (Foot & Ankle Surgery)
115 E 61ST ST, SUITE 6A
NEW YORK, NY 10065
Podiatrist (Foot & Ankle Surgery)
115 E 61ST ST, SUITE 6A
NEW YORK, NY 10065
Ophthalmology
115 E 61ST ST, SUITE 5B
NEW YORK, NY 10065
Optometrist
115 E 61ST ST, SUITE 5B
NEW YORK, NY 10065
Ophthalmology
115 E 61ST ST, SUITE 5B
NEW YORK, NY 10065
Dermatology
115 E 61ST ST, SUITE 2E
NEW YORK, NY 10065
Dermatology
115 E 61ST ST, SUITE 7E
NEW YORK, NY 10065

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 Nancy Kim's NPI number?

The NPI number for Nancy Kim is 1790901593. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Nancy Kim located?

Nancy Kim practices at 115 E 61st St 14th Floor, New York, NY 10065. The listed phone number is (212) 838-7219.

What is Nancy Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Nancy Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nancy Kim was last updated on December 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.