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DR. KEVIN MINSUNG KIM DDS
NPI 1831680750
Dentist - Pediatric Dentistry in Longview, WA

Active since May 26, 2018PECOS Enrolled
1717 OLYMPIA WAY, LONGVIEW, WA 98632(360) 636-1900 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2020, May 26, 2018 (2 updates tracked since 2018).

About Dr. Kevin Minsung Kim Dds NPPES

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

DR. KEVIN MINSUNG KIM DDS (NPI 1831680750) is an individual pediatric dentistry provider in Longview, Washington, licensed in Washington (DE61034697) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831680750
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KEVIN MINSUNG KIMCredential: DDS
Location Address1717 OLYMPIA WAYLongview, WA 98632-3929
Mailing Address1717 Olympia WayLongview, WA 98632-3929 · (360) 636-1900
Phone(360) 636-1900
Sole ProprietorNo
Enumeration DateMay 26, 2018
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1831680750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WA · DE61034697
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DE61034697 (WA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE61034697 (WA)
1717 OLYMPIA WAY, Longview, WA 98632
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11100 Main StBuffalo, NY 14209-2308 · Phone (716) 242-8200
Location 2114 Squire HallBuffalo, NY 14214-8006 · Phone (716) 829-3717

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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. Kevin Minsung 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 98632 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 5

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

PEEYUSH RANJAN
Dentist (Pediatric Dentistry)
1717 OLYMPIA WAY
LONGVIEW, WA 98632
Cowlitz County (360) 636-1900
DR. HANI EID DDS, MS.
Dentist (Pediatric Dentistry)
1717 OLYMPIA WAY, SUITE 101
LONGVIEW, WA 98632
Cowlitz County (360) 636-1900
SUN & MOON ACUPUNCTURE CLINIC INC
Acupuncturist
1717 OLYMPIA WAY, SUITE 104
LONGVIEW, WA 98632
Cowlitz County (360) 577-8989
DR. YAZAN JABER D.D.S
Dentist (Pediatric Dentistry)
1717 OLYMPIA WAY, 3108
LONGVIEW, WA 98632
Cowlitz County (360) 636-1900
EID, JABER, JASSAR, PLLC
Clinic/Center (Dental)
1717 OLYMPIA WAY, SUITE 108
LONGVIEW, WA 98632
Cowlitz County (360) 636-1900

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 Kevin Kim's NPI number?

The NPI number for Kevin Kim is 1831680750. It was assigned to this individual provider in the NPPES registry on May 26, 2018.

Where is Kevin Kim located?

Kevin Kim practices at 1717 Olympia Way, Longview, WA 98632. The listed phone number is (360) 636-1900.

What is Kevin Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kevin Kim enrolled in Medicare?

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

What insurance does Kevin Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Kevin 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 Kevin Kim was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.