DR. JAMES H KIM D.D.S.
NPI 1982720751
Dentist - General Practice in Big Bear Lake, CA

Active since March 22, 2007Opted out of Medicare · through May 16, 2028
569 BONANZA TRAIL, BIG BEAR LAKE, CA 92315(909) 866-0606 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James H Kim D.d.s. NPPES

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

DR. JAMES H KIM D.D.S. (NPI 1982720751) is an individual general practice provider in Big Bear Lake, California, licensed in California (47917) and active in the NPI registry since March 2007. He has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982720751
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES H KIMCredential: D.D.S.
Location Address569 BONANZA TRAILBig Bear Lake, CA 92315
Mailing AddressPo Box 6951, 42002 Fox Farm Road #101Big Bear Lake, CA 92315-6951 · (909) 866-0606 · Fax (909) 866-5546
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
NPI 1982720751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 47917
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
569 BONANZA TRAIL, Big Bear Lake, CA 92315

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. James H Kim D.d.s. 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 May 16, 2016 through May 16, 2028.

Opt-Out Effective DateMay 16, 2016
Opt-Out In Effect ThroughMay 16, 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 92315 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 James Kim's NPI number?

The NPI number for James Kim is 1982720751. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is James Kim located?

James Kim practices at 569 Bonanza Trail, Big Bear Lake, CA 92315. The listed phone number is (909) 866-0606.

What is James Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Kim enrolled in Medicare?

No. James Kim has opted out of Medicare through May 16, 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 James 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 2 other insurers list James 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 James Kim was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.