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

Q: 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.

Q: What is Seung Hwan 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 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.

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: October 25, 2026.

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

On this page

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

Phone(714) 591-5190

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

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Secondary Practice Location 1

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Seung Hwan Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seung Hwan Kim, DDS, Inc

Same address

Dental

13252 CENTURY BLVD STE Q
Garden Grove, CA 92843

Reassigned Medicare billing, California enrollment

NPI 1689198806 (714) 591-5190

Dr Kim Dental Corporation

11 mi

General Practice

651 S BEACH BLVD
La Habra, CA 90631

Reassigned Medicare billing, California enrollment

NPI 1952874810 (562) 691-3697

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

FU-SHENG CHANG DDS

Dentist (General Practice)

13252 CENTURY BLVD STE Q
GARDEN GROVE, CA 92843

Orange County (714) 537-7773

SEUNG HWAN KIM, DDS, INC

Clinic/Center (Dental)

13252 CENTURY BLVD STE Q
GARDEN GROVE, CA 92843

Orange County (714) 591-5190

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.

Which organizations bill Medicare for Seung Hwan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seung Hwan Kim reassigns Medicare benefits to 2 organizations: Seung Hwan Kim, DDS, Inc (Garden Grove, CA) and Dr Kim Dental Corporation (La Habra, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Seung Hwan Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Seung Hwan 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 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.