1. Home
  2. Directory
  3. Ohio
  4. Lorain
  5. Dentist
  6. NPI Profile

EDWARD JAEMIN KIM DMD
NPI 1881486629
Dentist - General Practice in Lorain, OH

Active since May 19, 2025PECOS Enrolled
1205 BROADWAY, LORAIN, OH 44052(440) 240-1655 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Jaemin Kim Dmd NPPES

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

EDWARD JAEMIN KIM DMD (NPI 1881486629) is an individual general practice provider in Lorain, Ohio, licensed in Ohio (30.027997) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881486629
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEDWARD JAEMIN KIMCredential: DMD
Location Address1205 BROADWAYLorain, OH 44052-3409
Mailing Address10001 Chester Ave Apt 240Cleveland, OH 44106-1664 · (206) 973-6253
Phone(440) 240-1655
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 19, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1881486629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OH · 30.027997
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.
1205 BROADWAY, Lorain, OH 44052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Edward Jaemin Kim Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658883160
PECOS Enrollment IDI20250620002798
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 44052 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 16

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

ALISON KNIGHT M.S., R.D., L.D.
Dietitian, Registered
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
DR. JOYCE A. RAMSUE-THOMPSON O.D.
Optometrist
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
ETHAN L KISER E.2606146
Counselor
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
DAVID HAYES
Dentist
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
LORAIN COUNTY HEALTH & DENTISTRY
Clinical Nurse Specialist (Family Health)
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
LORAIN COUNTY HEALTH & DENTISTRY
Pediatrics
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
DR. CELESTE KOSTELNIK DMD
Dentist
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655
YOUSIF TAYEH DDS
Dentist (General Practice)
1205 BROADWAY
LORAIN, OH 44052
Lorain County (440) 240-1655

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 Edward Kim's NPI number?

The NPI number for Edward Kim is 1881486629. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Edward Kim located?

Edward Kim practices at 1205 Broadway, Lorain, OH 44052. The listed phone number is (440) 240-1655.

What is Edward Kim's specialty?

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

Is Edward Kim enrolled in Medicare?

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

What insurance does Edward Kim accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Edward 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 Edward Kim was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.