DR. SHANNA KYUNGMI KIM (DDS) – Orofacial Pain Dentistry, NPI 1710282272

DR. SHANNA KYUNGMI KIM (DDS) is a healthcare provider. based in Longwood, Florida. specializing in Orofacial Pain Dentistry. They hold the professional credentials DDS. They hold a License No. 7344 (NV). The NPI Number for DR. SHANNA KYUNGMI KIM (DDS) is 1710282272

Main info

Female
Sole Proprietor
Name
DR. SHANNA KYUNGMI KIM (DDS)
NPI
1710282272
Phone
Not provided
Address
505 WEKIVA SPRINGS RD STE 100
Enumeration Date
14 January 2011
Last Update Date
28 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. SHANNA KYUNGMI KIM (DDS)

  • 505 WEKIVA SPRINGS RD STE 100

    LONGWOOD, FL 327796050

    Phone:

    Type: Mailing

  • PO BOX 17128

    RENO, NV 895113101

    Phone:

    Type: Mailing

  • 4840 VISTA BLVD STE 108

    SPARKS, NV 894362850

    Phone: (775) 362-9374

    Type: Location

  • 601 W MOANA LN STE 6

    RENO, NV 895094959

    Phone: (775) 583-7755

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes16380$0
76100X-ray of body plane10050$0
99204New patient office or other outpatient visit, 45-59 minutes7777$0
70355X-ray of lower jaws, upper jaws and teeth5050$0
72040X-ray of upper spine, 2-3 views5050$0
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Insurance plans in this area (ZIP 32779)

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Frequently asked questions

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DR. SHANNA KYUNGMI KIM (DDS)'s public NPI profile is in an active state.
Does DR. SHANNA KYUNGMI KIM (DDS) list a primary specialty?
If you are matching referrals, note Orofacial Pain Dentistry for DR. SHANNA KYUNGMI KIM (DDS). Clinical services aligned with this taxonomy classification.
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The page summarizes Longwood, Florida for DR. SHANNA KYUNGMI KIM (DDS); expand the address list for detail.
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