Shin Joseph Kim, DDS - Medicare Dentist in Camp Pendleton, CA

Shin Joseph Kim, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Camp Pendleton, California. His current practice location is 13128 14th Street, Camp Pendleton, California. You can reach out to his office (for appointments etc.) via phone at (760) 763-1126.

Shin Joseph Kim is licensed to practice in Florida (license number DN28761) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154645661.

Contact Information

Shin Joseph Kim, DDS
13128 14th Street,
Camp Pendleton, CA 92058
(760) 763-1126
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShin Joseph Kim
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location13128 14th Street, Camp Pendleton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154645661
  • Provider Enumeration Date: 03/26/2010
  • Last Update Date: 01/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375900947
  • Enrollment ID: I20230613002522

Medical Identifiers

Medical identifiers for Shin Joseph Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154645661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 7764010-9921-2014040 (Utah)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery DDS107230 (California)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery DN28761 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shin Joseph Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shin Joseph Kim, DDS
1234 Bellingham Dr,
Oceanside, CA 92057-2723

Ph: (818) 523-7253
Shin Joseph Kim, DDS
13128 14th Street,
Camp Pendleton, CA 92058

Ph: (760) 763-1126

Reviews and Comments


Dentist in Camp Pendleton, CA

Tommy Bernard White, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: Naval Hospital Camp Pendleton, Dental Department, Camp Pendleton, CA 92055
Phone: 760-725-1200    Fax: 760-725-1539
Dr. Henry Allston Lumpkin, DMD
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Practice Location: Naval Hospital Camp Pendleton, 200 Mercy Circle, Camp Pendleton, CA 92055
Phone: 760-719-4747    
Dr. Brett Clinton Miller, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: First Dental Battalion Ndc, Camp Pendleton, CA 92055
Phone: 760-725-5208    
Dr. Irma Louise Welch, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: Las Flores Dental Clinic, 41 Area, Bldg. 414006, Camp Pendleton, CA 92055
Phone: 760-763-5603    
Dr. Mason L Segura, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13th St. At D St., Bldg 1377, Camp Pendleton, CA 92055
Phone: 626-244-4538    
Dr. Joshua Daniel Evans, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14th Street, 13 Adc Bldg. 13128,, Camp Pendleton, CA 92055
Phone: 760-763-7241    
Leslie H Wallace, DR
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: Naval Hospital, Santa Margarita Road, Camp Pendleton, CA 92055
Phone: 760-725-8882    Fax: 760-725-8882

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.