Han S Kim, DMD - Medicare Dentist in Moorpark, CA

Han S Kim, DMD is a medicare enrolled "Dentist" provider in Moorpark, California. His current practice location is 4279 Tierra Rejada Rd, Moorpark, California. You can reach out to his office (for appointments etc.) via phone at (805) 673-3930.

Han S Kim is licensed to practice in California (license number 65331) 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 1861946683.

Contact Information

Han S Kim, DMD
4279 Tierra Rejada Rd,
Moorpark, CA 93021-3775
(805) 673-3930
(805) 659-3217



Healthcare Provider's Profile

Full NameHan S Kim
GenderMale
SpecialityDentist
Location4279 Tierra Rejada Rd, Moorpark, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861946683
  • Provider Enumeration Date: 08/10/2016
  • Last Update Date: 10/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9739467325
  • Enrollment ID: I20161102001792

Medical Identifiers

Medical identifiers for Han S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861946683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 65331 (California)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. Han S 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
Han S Kim, DMD
1040 Flynn Rd,
Camarillo, CA 93012-5092

Ph: (805) 673-3930
Han S Kim, DMD
4279 Tierra Rejada Rd,
Moorpark, CA 93021-3775

Ph: (805) 673-3930

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› Verified 8 days ago


Dentist in Moorpark, CA

Dr. Sahar Sepidehdam, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 100 W. High St. #617, Moorpark, CA 93020
Phone: 213-293-6256    
Dr. Zachary Leroy Potts, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4217 Tierra Rejada Rd., Moorpark, CA 93021
Phone: 805-243-3999    Fax: 805-243-3998
Dr. Anahid Acopian, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 484 E Los Angeles Ave, Suit 210, Moorpark, CA 93021
Phone: 805-532-1101    Fax: 805-532-1834
Dr. Tina Thuy Tran Nguyen, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6786 Westwood St, Moorpark, CA 93021
Phone: 805-298-0305    
Dr. Charles J Lee, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14711 Princeton Ave Ste 12, Moorpark, CA 93021
Phone: 805-529-4821    Fax: 915-744-5746
Brian Robert Forcey, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14711 Princeton Ave, 12, Moorpark, CA 93021
Phone: 805-529-4821    Fax: 805-529-4821
Dr. Jill Grannis, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 530 Moorpark Ave, Suite 140, Moorpark, CA 93021
Phone: 805-529-5955    Fax: 805-529-9595

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