DR. ANGIE Y KIM DMD
NPI 1942585658
Dentist - Pediatric Dentistry in Flushing, NY
About Dr. Angie Y Kim Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANGIE Y KIM DMD (NPI 1942585658) is an individual pediatric dentistry provider in Flushing, New York, licensed in New York (059719-1) and active in the NPI registry since October 2011. She has opted out of Medicare through October 28, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Angie Y Kim Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 28, 2016 through October 28, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11367 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLUSHING, NY 11367
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 Angie Kim's NPI number?
The NPI number for Angie Kim is 1942585658. It was assigned to this individual provider in the NPPES registry on October 13, 2011.
Where is Angie Kim located?
Angie Kim practices at 13514 Jewel Ave, Flushing, NY 11367. The listed phone number is (718) 997-6453.
What is Angie Kim's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Angie Kim enrolled in Medicare?
No. Angie Kim has opted out of Medicare through October 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Angie 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 Angie 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 Angie Kim was last updated on February 22, 2021. 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.
# Dr. Angie Y Kim, DMD · NPI 1942585658
Pediatric Dentistry provider in Flushing, New York. Individual provider, active in the CMS NPPES registry since October 13, 2011.
## Identity
- **NPI:** 1942585658 (Entity type: Individual)
- **Enumerated:** October 13, 2011
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 059719-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13514 JEWEL AVE, Flushing, NY 11367-1920
- **Phone:** (718) 997-6453
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 28, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** February 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942585658) · Data from the CMS NPPES public registry.