Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JONE KIM DDS
NPI 1982643110
Dentist - Oral and Maxillofacial Surgery in Brea, CA

Active since June 05, 2006Opted out of Medicare · through Jan 19, 2028
400 W CENTRAL AVE, SUITE 109, BREA, CA 92821(714) 529-0043(714) 529-1019 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jone Kim Dds NPPES

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

DR. JONE KIM DDS (NPI 1982643110) is an individual oral and maxillofacial surgery provider in Brea, California, licensed in California (41843) and active in the NPI registry since June 2006. He has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982643110
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JONE KIMCredential: DDS
Location Address400 W CENTRAL AVE, SUITE 109Brea, CA 92821-3013
Mailing Address400 W Central Ave, Suite 109Brea, CA 92821-3013 · (714) 529-0043 · Fax (714) 529-1019
Fax(714) 529-1019
Sole ProprietorNo
Enumeration DateJune 5, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1982643110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 41843
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
400 W CENTRAL AVE, Brea, CA 92821

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jone Kim Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2016 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2016
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92821 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 6

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

Specialist
400 W CENTRAL AVE, SUITE 101
BREA, CA 92821
Specialist
400 W CENTRAL AVE, SUITE 101
BREA, CA 92821
Non-Pharmacy Dispensing Site
400 W CENTRAL AVE, 106
BREA, CA 92821
Clinic/Center (Ambulatory Surgical)
400 W CENTRAL AVE, SUITE 101
BREA, CA 92821
Family Medicine
400 W CENTRAL AVE, SUITE 109
BREA, CA 92821
Urology
400 W CENTRAL AVE, #207
BREA, CA 92821

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 Jone Kim's NPI number?

The NPI number for Jone Kim is 1982643110. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Jone Kim located?

Jone Kim practices at 400 W Central Ave Suite 109, Brea, CA 92821. The listed phone number is (714) 529-0043.

What is Jone Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jone Kim enrolled in Medicare?

No. Jone Kim has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jone 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 4 other insurers list Jone 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 Jone Kim was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.