DR. JEFFREY J KIM'S DENTAL, INC.
NPI 1841316437
Dentist in San Bernardino, CA

Q: What is Dr. Jeffrey J Kim's Dental, Inc.'s NPI number?

The NPI number for Dr. Jeffrey J Kim's Dental, Inc. is 1841316437. It was assigned to this organization in the NPPES registry on March 22, 2007.

Q: What is Dr. Jeffrey J Kim's Dental, Inc.'s specialty?

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

Active since March 22, 2007

784 N D STREET, SAN BERNARDINO, CA 92401(909) 884-4733(909) 884-0668 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Jeffrey J Kim's Dental, Inc. NPPES

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

DR. JEFFREY J KIM'S DENTAL, INC. (NPI 1841316437) is a healthcare organization registered as a dentist in San Bernardino, California and active in the NPI registry since March 2007. The organization lists Jeffrey J Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1841316437

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDR. JEFFREY J KIM'S DENTAL, INC.

Location Address784 N D STREETSan Bernardino, CA 92401

Mailing Address784 N D StreetSan Bernardino, CA 92401 · (909) 884-4733 · Fax (909) 884-0668

Phone(909) 884-4733

Fax(909) 884-0668

Organization SubpartNo

Authorized OfficialJeffrey J KimOwner · (909) 884-4733

Enumeration DateMarch 22, 2007

Last NPPES UpdateJune 29, 2016

✔ NPI 1841316437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 40252

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.

784 N D STREET, San Bernardino, CA 92401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Benefits, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey J Kim's Dental, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20140515000995Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Jeffrey J Kim's Dental, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Kim, DDS

Oral Surgery

NPI 1851550248

784 NORTH D STREET
San Bernardino, CA 92401

(909) 884-4733

✔ PECOS408 mi

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

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 Dr. Jeffrey J Kim's Dental, Inc.'s NPI number?

The NPI number for Dr. Jeffrey J Kim's Dental, Inc. is 1841316437. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Dr. Jeffrey J Kim's Dental, Inc. located?

Dr. Jeffrey J Kim's Dental, Inc. is located at 784 N D Street, San Bernardino, CA 92401. The listed phone number is (909) 884-4733.

What is Dr. Jeffrey J Kim's Dental, Inc.'s specialty?

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

Is Dr. Jeffrey J Kim's Dental, Inc. enrolled in Medicare?

Yes. Dr. Jeffrey J Kim's Dental, Inc. is registered in the Medicare PECOS enrollment system.

When is Dr. Jeffrey J Kim's Dental, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dr. Jeffrey J Kim's Dental, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Dr. Jeffrey J Kim's Dental, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. Jeffrey J Kim's Dental, Inc. accept?

Health plans from Solstice Benefits and UnitedHealthcare list Dr. Jeffrey J Kim's Dental, Inc. 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 Dr. Jeffrey J Kim's Dental, Inc. was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.