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HAN S. KIM DMD
NPI 1861946683
Dentist - Periodontics in Fort Meade, MD

Active since August 10, 2016PECOS Enrolled
2480 LLEWELLYN AVE, FORT MEADE, MD 20755(310) 993-1836 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2016, Aug 10, 2016 (2 updates tracked since 2016).

About Han S. Kim Dmd NPPES

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

HAN S. KIM DMD (NPI 1861946683) is an individual periodontics provider in Fort Meade, Maryland, licensed in California (65331) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861946683
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameHAN S. KIMCredential: DMD
Location Address2480 LLEWELLYN AVEFort Meade, MD 20755-7081
Mailing Address1040 Flynn RdCamarillo, CA 93012-5092 · (805) 673-3930 · Fax (805) 659-3217
Phone(310) 993-1836
Sole ProprietorNo
Enumeration DateAugust 10, 2016
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1861946683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 65331
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 65331 (CA)
2480 LLEWELLYN AVE, Fort Meade, MD 20755
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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)

Han S. 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 20755 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

MRS. JOANNE HILL RN
Registered Nurse (Ambulatory Care)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8854
JENNIE LINN WILLIAMS
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Anne Arundel County (301) 677-8741
GILBERT CARL LONG LVN
Licensed Vocational Nurse
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8270
JANNA LAMBSON O.D.
Optometrist
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8813
PATRICIA GINDLESBERGER
Social Worker (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-9530
MS. LAUREN MICHELE ABBOTT PA
Physician Assistant
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (410) 436-3001
MRS. YOLANDA NICOLE NELSON
Nurse's Aide
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8949
SHELIA FAYE RAMSEY-CALDWELL LCSW-C
Social Worker (Clinical)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FORT GEORGE G MEADE, MD 20755
Anne Arundel County (301) 677-8461

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 Han Kim's NPI number?

The NPI number for Han Kim is 1861946683. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Han Kim located?

Han Kim practices at 2480 Llewellyn Ave, Fort Meade, MD 20755. The listed phone number is (310) 993-1836.

What is Han Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Han Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Han Kim was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.