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JONG RYUL KIM
NPI 1982008959
Dentist - Endodontics in Philadelphia, PA

Active since October 20, 2014PECOS Enrolled
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2900 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2022, Nov 28, 2022 (2 updates tracked since 2022).

About Jong Ryul Kim NPPES

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

JONG RYUL KIM (NPI 1982008959) is an individual endodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS041524) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982008959
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJONG RYUL KIM
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address3223 N Broad StPhiladelphia, PA 19140-5007 · (215) 707-2900
Phone(215) 707-2900
Sole ProprietorYes
Enumeration DateOctober 20, 2014
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1982008959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in PA · DS041524✔ Licensed in VA · 0401414600
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
3223 N BROAD ST, Philadelphia, PA 19140
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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)

Jong Ryul 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 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

JOHN PAUL FRIEL JR. DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-0115
LEONA SPERRAZZA DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2995
DR. MARK WILLIAM ELICE DMD
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2890
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900
JIN XIA JIANG DMD
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2931
DR. ARMIN MEHDIZADEH-SHRIFI DDS
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (210) 552-2199
DR. BERNARD FEINSTEIN DDS
Dentist (Oral and Maxillofacial Surgery)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-8310
DR. LOUISE MARIE SKARULIS D.M.D.
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3593

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 Jong Ryul Kim's NPI number?

The NPI number for Jong Ryul Kim is 1982008959. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Jong Ryul Kim located?

Jong Ryul Kim practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-2900.

What is Jong Ryul Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jong Ryul Kim enrolled in Medicare?

Yes. Jong Ryul Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jong Ryul Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jong Ryul 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 Jong Ryul Kim was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.