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DR. DAESOON KIM D.D.S.
NPI 1831212562
Dentist - Prosthodontics in Sacramento, CA

Active since April 09, 2007PECOS Enrolled
1724 PROFESSIONAL DR, SACRAMENTO, CA 95825(916) 482-4000 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

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

DR. DAESOON KIM D.D.S. (NPI 1831212562) is an individual prosthodontics provider in Sacramento, California, licensed in California (52412) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831212562
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. DAESOON KIMCredential: D.D.S.
Location Address1724 PROFESSIONAL DRSacramento, CA 95825-2105
Mailing Address4105 Arenzano WayEl Dorado Hills, CA 95762-5454
Phone(916) 482-4000
Sole ProprietorNo
Enumeration DateApril 9, 2007
Last NPPES UpdateJanuary 24, 2013
✔ NPI 1831212562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in CA · 52412
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1724 PROFESSIONAL DR, Sacramento, CA 95825
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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. Daesoon 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 95825 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 Daesoon Kim's NPI number?

The NPI number for Daesoon Kim is 1831212562. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Daesoon Kim located?

Daesoon Kim practices at 1724 Professional Dr, Sacramento, CA 95825. The listed phone number is (916) 482-4000.

What is Daesoon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Daesoon Kim enrolled in Medicare?

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

What insurance does Daesoon 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 3 other insurers list Daesoon 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 Daesoon Kim was last updated on January 24, 2013, 13 years ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. 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.