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DR. JOO KIM D.D.S.
NPI 1790920049
Dentist in Wantagh, NY

Active since December 15, 2008PECOS Enrolled
3366 PARK AVE, WANTAGH, NY 11793(646) 784-2703 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2023, May 19, 2016 (2 updates tracked since 2016).

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

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

DR. JOO KIM D.D.S. (NPI 1790920049) is an individual dentist in Wantagh, New York, licensed in New York (054830-1) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790920049
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOO KIMCredential: D.D.S.
Location Address3366 PARK AVEWantagh, NY 11793-3770
Mailing Address3366 Park AveWantagh, NY 11793-3770 · (516) 826-4949
Phone(646) 784-2703
Sole ProprietorYes
Enumeration DateDecember 15, 2008
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1790920049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in NY · 054830-1✔ Licensed in NJ · 22DI02390000
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.
3366 PARK AVE, Wantagh, NY 11793
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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

✔

Enrolled in Medicare (PECOS)

Dr. Joo 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 11793 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 14

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

LOIS BETH LEVINE DDS
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 826-4949
DR. NEIL FINN DDS
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (212) 826-4949
DR. VASILIKI BATALIAS
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 826-4949
KRISTINE GIURCO I MFT LP
Marriage & Family Therapist
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 993-5896
DR. NORMAN EDWARD RICH D.D.S.
Dentist (General Practice)
3366 PARK AVE, STE 112
WANTAGH, NY 11793
Nassau County (516) 785-1188
DR. IRWIN SILVERSMITH DMD
Dentist
3366 PARK AVE, SUITE 201
WANTAGH, NY 11793
Nassau County (516) 785-2255
DR. TODD DARREN POBINER D.M.D.
Dentist (Endodontics)
3366 PARK AVE, SUITE 202
WANTAGH, NY 11793
Nassau County (516) 826-6655
SOUTH SHORE LONG ISLAND PERIODONTICS AND IMPLANTOLOGY
Dentist (Periodontics)
3366 PARK AVE
WANTAGH, NY 11793
Nassau County (516) 826-4949

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 Joo Kim's NPI number?

The NPI number for Joo Kim is 1790920049. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Where is Joo Kim located?

Joo Kim practices at 3366 Park Ave, Wantagh, NY 11793. The listed phone number is (646) 784-2703.

What is Joo Kim's specialty?

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

Is Joo Kim enrolled in Medicare?

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

What insurance does Joo 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 HRI Dental & Vision and 4 other insurers list Joo 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 Joo Kim was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.