DR. JIN YOUNG KIM D.D.S.
NPI 1922296623
Dentist - Prosthodontics in Diamond Bar, CA

Q: What is Jin Young Kim's NPI number?

The NPI number for Jin Young Kim is 1922296623. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Q: What is Jin Young Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Jin Young Kim was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 09, 2007PECOS Enrolled

20657 GOLDEN SPRINGS DR., STE. 205B, DIAMOND BAR, CA 91789(909) 859-8800(909) 859-8753 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jin Young Kim D.d.s. NPPES

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

DR. JIN YOUNG KIM D.D.S. (NPI 1922296623) is an individual prosthodontics provider in Diamond Bar, California, licensed in California (54575) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922296623

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. JIN YOUNG KIMCredential: D.D.S.

Location Address20657 GOLDEN SPRINGS DR., STE. 205BDiamond Bar, CA 91789-3837

Mailing Address20657 Golden Springs Dr., Ste. 205bDiamond Bar, CA 91789-3837 · (909) 859-8800 · Fax (909) 859-8753

Phone(909) 859-8800

Fax(909) 859-8753

Sole ProprietorYes

Enumeration DateOctober 9, 2007

Last NPPES UpdateOctober 30, 2020

NPPES CertifiedOctober 30, 2020

✔ NPI 1922296623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CA · 54575

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 54575 (CA)

20657 GOLDEN SPRINGS DR., Diamond Bar, CA 91789

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Accepted Insurance

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

Dr. Jin Young Kim D.d.s. 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 91789 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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 Jin Young Kim's NPI number?

The NPI number for Jin Young Kim is 1922296623. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Jin Young Kim located?

Jin Young Kim practices at 20657 Golden Springs Dr. Ste. 205B, Diamond Bar, CA 91789. The listed phone number is (909) 859-8800.

What is Jin Young Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Jin Young Kim enrolled in Medicare?

Yes. Jin Young Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jin Young Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jin Young 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 Jin Young Kim was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.