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DR. HAK KYUN KIM DDS
NPI 1821583048
Dentist in Berkeley, CA

Active since June 29, 2018PECOS Enrolled
115 BERKELEY SQ, BERKELEY, CA 94704(510) 982-0300 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2022, Jun 29, 2018 (2 updates tracked since 2018).

About Dr. Hak Kyun Kim Dds NPPES

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

DR. HAK KYUN KIM DDS (NPI 1821583048) is an individual dentist in Berkeley, California, licensed in California (DDS102604) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821583048
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. HAK KYUN KIMCredential: DDS
Location Address115 BERKELEY SQBerkeley, CA 94704-1206
Mailing Address115 Berkeley SqBerkeley, CA 94704-1206 · (510) 982-0300
Phone(510) 982-0300
Sole ProprietorNo
Enumeration DateJune 29, 2018
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1821583048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS102604
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.
115 BERKELEY SQ, Berkeley, CA 94704
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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. Hak Kyun 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 94704 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 4

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

TAM DINH TRAN DMD
Dentist
115 BERKELEY SQ
BERKELEY, CA 94704
Alameda County (510) 540-8400
LUCY TSAI D.D.S
Dentist
115 BERKELEY SQ
BERKELEY, CA 94704
Alameda County (510) 540-8400
DR. PAUL I-CHUN WANG D.D.S.
Dentist
115 BERKELEY SQ
BERKELEY, CA 94704
Alameda County (510) 982-0300
DR. ANGELICA A CABRAL DMD,DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
115 BERKELEY SQ
BERKELEY, CA 94704
Alameda County (510) 649-4840

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 Hak Kyun Kim's NPI number?

The NPI number for Hak Kyun Kim is 1821583048. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Hak Kyun Kim located?

Hak Kyun Kim practices at 115 Berkeley Sq, Berkeley, CA 94704. The listed phone number is (510) 982-0300.

What is Hak Kyun Kim's specialty?

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

Is Hak Kyun Kim enrolled in Medicare?

Yes. Hak Kyun Kim is registered in the Medicare PECOS enrollment system.

What insurance does Hak Kyun 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 2 other insurers list Hak Kyun 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 Hak Kyun Kim was last updated on January 18, 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.