SEUNG HWAN KIM D.D.S
NPI 1972964260
Dentist in Garden Grove, CA

Active since March 14, 2016PECOS Enrolled
13252 CENTURY BLVD STE Q, GARDEN GROVE, CA 92843(714) 591-5190 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 3, 2017 and 2 more (5 updates tracked since 2016).

About Seung Hwan Kim D.d.s NPPES

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

SEUNG HWAN KIM D.D.S (NPI 1972964260) is an individual dentist in Garden Grove, California, licensed in California (65350) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1972964260
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSEUNG HWAN KIMCredential: D.D.S
Location Address13252 CENTURY BLVD STE QGarden Grove, CA 92843-1257
Mailing Address16614 Adler RdLa Mirada, CA 90638-6587 · (213) 505-2088
Sole ProprietorYes
Enumeration DateMarch 14, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1972964260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 65350
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.
13252 CENTURY BLVD STE Q, Garden Grove, CA 92843

Secondary Practice Location 1

Location 1434 S Euclid StAnaheim, CA 92802-1247 · Phone (714) 533-0900

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)

Seung Hwan 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 92843 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 2

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

Dentist (General Practice)
13252 CENTURY BLVD STE Q
GARDEN GROVE, CA 92843
Clinic/Center (Dental)
13252 CENTURY BLVD STE Q
GARDEN GROVE, CA 92843

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 Seung Hwan Kim's NPI number?

The NPI number for Seung Hwan Kim is 1972964260. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Seung Hwan Kim located?

Seung Hwan Kim practices at 13252 Century Blvd Ste Q, Garden Grove, CA 92843. The listed phone number is (714) 591-5190.

What is Seung Hwan Kim's specialty?

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

Is Seung Hwan Kim enrolled in Medicare?

Yes. Seung Hwan Kim is registered in the Medicare PECOS enrollment system.

What insurance does Seung Hwan Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Seung Hwan 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 Seung Hwan Kim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.