MR. JEFFREY J KIM DDS
NPI 1851550248
Dentist in San Bernardino, CA

Q: What is Jeffrey Kim's NPI number?

The NPI number for Jeffrey Kim is 1851550248. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Q: What is Jeffrey 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 Jeffrey Kim was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 02, 2008PECOS Enrolled

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

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Jeffrey J Kim Dds NPPES

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

MR. JEFFREY J KIM DDS (NPI 1851550248) is an individual dentist in San Bernardino, California, licensed in California (40252) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851550248

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. JEFFREY J KIMCredential: DDS

Location Address784 NORTH D STREETSan Bernardino, CA 92401

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

Phone(909) 884-4733

Fax(909) 884-0668

Sole ProprietorYes

Enumeration DateJune 2, 2008

✔ NPI 1851550248 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 NORTH D STREET, San Bernardino, CA 92401

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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 Montana 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)

Mr. Jeffrey J 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.

Medicare Billing Reassignment

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

Dr. Jeffrey J Kim's Dental, Inc.

408 mi

Dentist

784 N D STREET
San Bernardino, CA 92401

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Kims Sunshine Dental Inc

NPI 1841316437 (909) 884-4733

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 92401 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 Jeffrey Kim's NPI number?

The NPI number for Jeffrey Kim is 1851550248. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Jeffrey Kim located?

Jeffrey Kim practices at 784 North D Street, San Bernardino, CA 92401. The listed phone number is (909) 884-4733.

What is Jeffrey Kim's specialty?

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

Is Jeffrey Kim enrolled in Medicare?

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

Which organization bills Medicare for Jeffrey Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Kim reassigns Medicare benefits to Dr. Jeffrey J Kim's Dental, Inc. (San Bernardino, 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 Jeffrey Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Jeffrey 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 Jeffrey Kim was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.