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Dr. Donghwan Kim , DDS

Dentist - Orthodontics and Dentofacial Orthopedics β€’ Sanger, CA

Active NPI 1164082483 Individual Practitioner Male Practitioner
Practice location in NPPES

1570 7th St
Sanger, CA 936572402

Call 8004924227 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1570 7th St

Sanger, CA 936572402

Telephone 8004924227
Organization at the Same NPPES Address or Phone
United Health Centers Of The San Joaquin Valley Facility NPI 1023799806

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

78 standardized 30-day fills in 2022

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$317 in 2022

The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2022.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $32.47 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kim has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kim as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Sanger and California

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Kim are from 2022.

1 active clinicians are listed under Dentist - Orthodontics and Dentofacial Orthopedics with a practice address in Sanger, CA (1,891 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2022), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $32.47.

Manufacturer Payment Nature Product Type Amount ($)
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $32.47

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2022.

CMS Part D Β· Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 49 333 $206.59 40
Ibuprofen Ibuprofen 29 287 $110.47 26

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-01
Dentist - Orthodontics and Dentofacial Orthopedics Primary Specialty

NUCC Taxonomy Code: 1223X0400X

License # reported to NPPES CA 103804

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20200618003129

Enrollment State Jurisdiction

CA

PECOS Control ID

6002238144

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1619439866

Doctor of Medicine (M.D.)

Dr. Radhika Bakshi , DDS

Dentist - General Practice

NPI 1427761766

Doctor of Dental Surgery

Azita Banandargah

Nurse Practitioner - Family

NPI 1205549789
NPI 1699558817

Doctor of Dental Surgery

Natalie Betancur , FNP-C

Nurse Practitioner - Family

NPI 1003541020

Family Nurse Practitioner (Certified)

Dr. Stella Chan , DO

Family Medicine

NPI 1497336879

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2026

Dentist (license number reported to NPPES: CA 103804)

πŸ“
Updated Practice Location August 27, 2020

Registered at 1570 7TH ST, SANGER, CA 936572402 (Tel: 8004924227)

βœ…
NPI Profile Active June 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 18, 2019

Registered at 1101 N CHERRY ST, TULARE, CA 932742231 (Tel: 5596869097)

πŸ“
Business Mailing Address (Initial Record) June 18, 2019

Registered at 2940 W TYLER AVE, VISALIA, CA 932916567 (Tel: 5593319502)

πŸ‘€
Provider Name / Credentials (Initial Record) June 18, 2019

Recorded as DONGHWAN KIM, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Dentist (license number reported to NPPES: CA 103804)

🟒
Initial NPI Registration & Enumeration June 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164082483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2019
Last Update: September 01, 2026
Sole Proprietor: Yes

Mailing Address

2940 W Tyler Ave

Visalia, CA 932916567

Phone: 5593319502

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.