DR. SONGHYON KIM DDS
NPI 1912076738
Dentist in Parker, AZ

Active since November 07, 2006PECOS Enrolled
12033 AGENCY RD, PARKER, AZ 85344(928) 669-2137(928) 669-3131 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2025, Jan 14, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Songhyon Kim Dds NPPES

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

DR. SONGHYON KIM DDS (NPI 1912076738) is an individual dentist in Parker, Arizona, licensed in Utah (265201-9923) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1912076738
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SONGHYON KIMCredential: DDS
Location Address12033 AGENCY RDParker, AZ 85344-7718
Mailing AddressPo Box 95461Cleveland, OH 44101-0033 · (928) 669-2137 · Fax (928) 669-3131
Fax(928) 669-3131
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 15, 20254 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1912076738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in UT · 265201-9923 Licensed in OH · 30.025304 Licensed in OR · D10160 Licensed in UT · 265201
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.

12033 AGENCY RD, Parker, AZ 85344

Secondary Practice Locations 3

Location 14044 Morse RdColumbus, OH 43230-1448 · Phone (614) 473-0400 · Fax (913) 752-9116
Location 22961 W Maple Loop Dr Ste 110Lehi, UT 84043-5717 · Phone (801) 766-4042
Location 3992 Country Club Rd Ste 102Eugene, OR 97401-6023 · Phone (855) 433-6825

Other Identifiers 1

Medicaid1912076738UT

Accepted 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)

Dr. Songhyon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85344 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Preventive Medicine (Public Health & General Preventive Medicine)
12033 AGENCY RD
PARKER, AZ 85344
Dentist (Pediatric Dentistry)
12033 AGENCY RD
PARKER, AZ 85344
Dentist
12033 AGENCY RD
PARKER, AZ 85344
Social Worker
12033 AGENCY RD, # 730
PARKER, AZ 85344
Pharmacist
12033 AGENCY RD
PARKER, AZ 85344
Pharmacist
12033 AGENCY RD
PARKER, AZ 85344
Dietitian, Registered
12033 AGENCY RD
PARKER, AZ 85344
Optometrist
12033 AGENCY RD
PARKER, AZ 85344

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 Songhyon Kim's NPI number?

The NPI number for Songhyon Kim is 1912076738. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Songhyon Kim located?

Songhyon Kim practices at 12033 Agency Rd, Parker, AZ 85344. The listed phone number is (928) 669-2137.

What is Songhyon Kim's specialty?

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

Is Songhyon Kim enrolled in Medicare?

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

What insurance does Songhyon Kim accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 12 other insurers list Songhyon 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 Songhyon Kim was last updated on August 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.