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SOYOUNG KIM DMD
NPI 1891127106
Dentist in Leominster, MA

Active since August 08, 2013PECOS Enrolled
55 SACK BLVD, LEOMINSTER, MA 01453(978) 466-6800 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soyoung Kim Dmd NPPES

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

SOYOUNG KIM DMD (NPI 1891127106) is an individual dentist in Leominster, Massachusetts, licensed in Rhode Island (DEN03191) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891127106
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSOYOUNG KIMCredential: DMD
Location Address55 SACK BLVDLeominster, MA 01453-3325
Mailing Address27 Cortland WayGrafton, MA 01519-1093 · (508) 395-7833
Phone(978) 466-6800
Sole ProprietorYes
Enumeration DateAugust 8, 2013
Last NPPES UpdateNovember 13, 2013
✔ NPI 1891127106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in RI · DEN03191✔ Licensed in MA · DN1856371
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.
55 SACK BLVD, Leominster, MA 01453
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life 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)

Soyoung 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 01453 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 6

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

MICHELLE KIM
Dentist (General Practice)
55 SACK BLVD
LEOMINSTER, MA 01453
Worcester County (978) 466-6800
LI ZHONG DMD
Dentist (General Practice)
55 SACK BLVD
LEOMINSTER, MA 01453
Worcester County (978) 466-6800
DR. JAYOON CHOI D.M.D.
Dentist (General Practice)
55 SACK BLVD
LEOMINSTER, MA 01453
Worcester County (978) 466-6800
DR. KISHAN VINOD PATEL DMD
Dentist (Dental Public Health)
55 SACK BLVD
LEOMINSTER, MA 01453
Worcester County (978) 466-6800
VICTOR MANUEL ALARCON DDS
Dentist (General Practice)
55 SACK BLVD
LEOMINSTER, MA 01453
Worcester County (978) 466-6800
AZADEH EMAM D.M.D.
Dentist
55 SACK BLVD, UNIT 5
LEOMINSTER, MA 01453
Worcester County (978) 466-6800

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 Soyoung Kim's NPI number?

The NPI number for Soyoung Kim is 1891127106. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Soyoung Kim located?

Soyoung Kim practices at 55 Sack Blvd, Leominster, MA 01453. The listed phone number is (978) 466-6800.

What is Soyoung Kim's specialty?

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

Is Soyoung Kim enrolled in Medicare?

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

What insurance does Soyoung Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Soyoung 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 Soyoung Kim was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.