CASEY SEOL KIM
NPI 1962199364
Dentist in Columbus, OH

Q: What is Casey Kim's NPI number?

The NPI number for Casey Kim is 1962199364. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Casey Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Casey Kim was last updated on June 11, 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.

Active since April 18, 2023PECOS Enrolled

305 W 12TH AVE, COLUMBUS, OH 43210(614) 688-3763 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2025, Jul 14, 2023 (2 updates tracked since 2023).

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About Casey Seol Kim NPPES

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

CASEY SEOL KIM (NPI 1962199364) is an individual dentist in Columbus, Ohio, licensed in Ohio (30.027812) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962199364

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameCASEY SEOL KIM

Location Address305 W 12TH AVEColumbus, OH 43210-1267

Mailing Address305 W 12th AveColumbus, OH 43210-1267

Phone(614) 688-3763

Sole ProprietorYes

Enumeration DateApril 18, 2023

Last NPPES UpdateJune 11, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1962199364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30.027812

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RES.004612 (OH)

305 W 12TH AVE, Columbus, OH 43210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Ohio.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)

Casey Seol Kim 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 43210 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 20

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

DR. TIMOTHY GARTH WEAVER D.D.S.

Dentist

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-7473

MITCHELL THAI

Dentist (General Practice)

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-4468

DIANA MAHMOODI DMD

Dentist (Prosthodontics)

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (703) 608-6431

DR. ELMER JAY NEWNESS D.D.S.

Dentist

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-3015

DANIEL STENTZ D.D.S.

Dentist

305 W 12TH AVE, ROOM 3059C POSTLE HALL
COLUMBUS, OH 43210

Franklin County (614) 292-3596

JENNIFER BURZYNSKI DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

305 W 12TH AVE, OSU DEPARTMENT OF ORTHODONTICS
COLUMBUS, OH 43210

Franklin County (614) 292-9100

DR. SOORYA SRINIVASAN D.M.D

Dentist (Orthodontics and Dentofacial Orthopedics)

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 688-4047

DR. BRYCE WOOLSEY DDS

Dentist

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-2622

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 Casey Kim's NPI number?

The NPI number for Casey Kim is 1962199364. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Casey Kim located?

Casey Kim practices at 305 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 688-3763.

What is Casey Kim's specialty?

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

Is Casey Kim enrolled in Medicare?

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

What insurance does Casey Kim accept?

Health plans from Delta Dental of Ohio list Casey 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 Casey Kim was last updated on June 11, 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.