DONG M KIM D.D.S.
NPI 1821203282
Dentist in Los Angeles, CA

Q: What is Dong Kim's NPI number?

The NPI number for Dong Kim is 1821203282. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Dong Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dong Kim was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2007PECOS Enrolled

1055 S ALVARADO ST, LOS ANGELES, CA 90006(213) 382-8980 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2024, Jun 17, 2016 (2 updates tracked since 2016).

On this page

About Dong M Kim D.d.s. NPPES

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

DONG M KIM D.D.S. (NPI 1821203282) is an individual dentist in Los Angeles, California, licensed in California (55265) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821203282

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDONG M KIMCredential: D.D.S.

Location Address1055 S ALVARADO STLos Angeles, CA 90006-3711

Mailing Address1400 Arapahoe StLos Angeles, CA 90006-4808 · (213) 380-8760

Phone(213) 382-8980

Sole ProprietorNo

Enumeration DateMay 11, 2007

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1821203282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 55265

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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 55265 (CA)

1055 S ALVARADO ST, Los Angeles, CA 90006

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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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dong M 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.

Medicare Billing Reassignment

Medicare enrollment records show Dong Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dong Myung Kim DDS Inc

Same address

Dental

1055 S. ALVARADO ST
Los Angeles, CA 90004

Reassigned Medicare billing, California enrollment

NPI 1487926911 (213) 382-8980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 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.

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 Dong Kim's NPI number?

The NPI number for Dong Kim is 1821203282. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Dong Kim located?

Dong Kim practices at 1055 S Alvarado St, Los Angeles, CA 90006. The listed phone number is (213) 382-8980.

What is Dong Kim's specialty?

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

Is Dong Kim enrolled in Medicare?

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

Which organization bills Medicare for Dong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dong Kim reassigns Medicare benefits to Dong Myung Kim DDS Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dong Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Dong 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 Dong Kim was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.