DR. MI SUKE KIM DMD
NPI 1861463655
Dentist - General Practice in Wpafb, OH

Q: What is Mi Kim's NPI number?

The NPI number for Mi Kim is 1861463655. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Mi Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mi Kim was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 30, 2006PECOS Enrolled

4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-8761 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2023, Apr 23, 2018 (2 updates tracked since 2018).

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About Dr. Mi Suke Kim Dmd NPPES

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

DR. MI SUKE KIM DMD (NPI 1861463655) is an individual general practice provider in Wpafb, Ohio, licensed in Kentucky (8131) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861463655

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MI SUKE KIMCredential: DMD

Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529

Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-8761

Phone(937) 257-8761

Sole ProprietorNo

Enumeration DateJanuary 30, 2006

Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2023

✔ NPI 1861463655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 8131

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4881 SUGAR MAPLE DR, Wpafb, OH 45433

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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. Mi Suke Kim Dmd 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 45433 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

MR. JAMES REBELLO III

Pharmacist

4881 SUGAR MAPLE DR
FAIRBORN, OH 45433

Greene County (937) 257-9014

CARLA HUELSKAMP PHARMD

Pharmacist

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9696

JOHN ALAN ARTHUR

Internal Medicine

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-4482

ALEXIS D OWEN

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-1574

GREGORY JAMES MORSE M.D.

Radiology (Nuclear Radiology)

4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9679

KENDRA M. SCHMUCK RD LD

Dietitian, Registered

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-8815

MATTHEW PHILIP SCULLY IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (616) 717-0169

KAREN LEWIS RTT

Radiologic Technologist (Radiation Therapy)

4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-4159

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 Mi Kim's NPI number?

The NPI number for Mi Kim is 1861463655. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Mi Kim located?

Mi Kim practices at 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 257-8761.

What is Mi Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mi Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mi Kim was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.