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DR. KI-SUNG SUNG D.D.S., M.S.
NPI 1962541540
Dentist - Periodontics in Valencia, CA

Active since February 06, 2007PECOS Enrolled
28237 NEWHALL RANCH RD, VALENCIA, CA 91355(661) 257-4242(661) 294-0020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ki-sung Sung D.d.s., M.s. NPPES

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

DR. KI-SUNG SUNG D.D.S., M.S. (NPI 1962541540) is an individual periodontics provider in Valencia, California, licensed in California (54908) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962541540
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KI-SUNG SUNGCredential: D.D.S., M.S.
Location Address28237 NEWHALL RANCH RDValencia, CA 91355-0986
Mailing Address960 Calle Del PacificoGlendale, CA 91208-3020 · (917) 583-8543
Phone(661) 257-4242
Fax(661) 294-0020
Sole ProprietorYes
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962541540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 54908
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
28237 NEWHALL RANCH RD, Valencia, CA 91355
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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Ki-sung Sung D.d.s., M.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 91355 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.

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.

MR. JONATHAN CAMPOS
Dental Assistant
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242
LIDIA E BANADOS RDA
Dental Assistant
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242
COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION
Dentist
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242
JOEL SLAVEN DDS INC
Dentist (General Practice)
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242
MRS. ELHAM YAZDANI RDH
Dental Hygienist
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242
CLAUDIA CONTRERAS
Dental Assistant
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (310) 820-9933
DORA MARIA ROMERO
Dental Assistant
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242
MR. LORENZO GARNICA RDA
Dental Assistant
28237 NEWHALL RANCH RD
VALENCIA, CA 91355
Los Angeles County (661) 257-4242

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 Ki-sung Sung's NPI number?

The NPI number for Ki-sung Sung is 1962541540. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Ki-sung Sung located?

Ki-sung Sung practices at 28237 Newhall Ranch Rd, Valencia, CA 91355. The listed phone number is (661) 257-4242.

What is Ki-sung Sung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Ki-sung Sung enrolled in Medicare?

Yes. Ki-sung Sung is registered in the Medicare PECOS enrollment system.

What insurance does Ki-sung Sung accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ki-sung Sung 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 Ki-sung Sung was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.