JEFFREY MARK KIM DDS
NPI 1982974135
Dentist - Periodontics in Port Orange, FL

Q: What is Jeffrey Kim's NPI number?

The NPI number for Jeffrey Kim is 1982974135. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Q: What is Jeffrey Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Kim was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 January 05, 2012PECOS Enrolled

4570 S CLYDE MORRIS BLVD, SUITE 1, PORT ORANGE, FL 32129(386) 322-4867(386) 322-3899 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffrey Mark Kim Dds NPPES

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

JEFFREY MARK KIM DDS (NPI 1982974135) is an individual periodontics provider in Port Orange, Florida, licensed in Florida (DN13917) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982974135

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameJEFFREY MARK KIMCredential: DDS

Location Address4570 S CLYDE MORRIS BLVD, SUITE 1Port Orange, FL 32129-5401

Mailing Address4570 S Clyde Morris Blvd, Suite 1Port Orange, FL 32129-5401

Phone(386) 322-4867

Fax(386) 322-3899

Sole ProprietorYes

Enumeration DateJanuary 5, 2012

✔ NPI 1982974135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in FL · DN13917

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

4570 S CLYDE MORRIS BLVD, Port Orange, FL 32129

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Other Identifiers 1

OtherDN13917FL · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life 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)

Jeffrey Mark Kim Dds 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 32129 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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

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

J. KIM PERIODONTICS, LLC

Dentist (Periodontics)

4570 S CLYDE MORRIS BLVD, SUITE 1
PORT ORANGE, FL 32129

Volusia County (386) 322-4867

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 Jeffrey Kim's NPI number?

The NPI number for Jeffrey Kim is 1982974135. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Jeffrey Kim located?

Jeffrey Kim practices at 4570 S Clyde Morris Blvd Suite 1, Port Orange, FL 32129. The listed phone number is (386) 322-4867.

What is Jeffrey Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jeffrey Kim enrolled in Medicare?

Yes. Jeffrey Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Kim accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Delta Dental and Dominion National and 7 other insurers list Jeffrey 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 Jeffrey Kim was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.