Dongsoo David Kim, DMD, MD
Oral & Maxillofacial Surgery (D.M.D.) · Shreveport, LA
Dongsoo David Kim, DMD, MD is an oral & maxillofacial surgery (d.m.d.) with a practice address in Shreveport, Louisiana, and NPI 1821016957, issued on Jul 17, 2006. Check the license (Louisiana 15055R, as entered in NPPES) with the Louisiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Dongsoo David Kim
- Credential
- DMD, MD
- Primary taxonomy
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- License numbers
- 15055R LA
5542 LA
Self-reported in NPPES; status is on the state search - Practice location
- 1501 Kings Hwy, Shreveport, LA 71103
- Phone
- (318) 813-2625
- Enumerated
- Jul 17, 2006
- Record last updated
- Aug 25, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (318) 813-2627
- Medicaid ID
- 1855421 LA
- Medicare enrollment
- Enrolled (PECOS I20060201000758); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest oral & maxillofacial surgery (d.m.d.) records → All 29 in Louisiana → Look up another NPI →
Also registered at 1501 Kings Hwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mehdi Abbasi, MDStudent in an Organized Health Care Education/Training Program1023892106
- Maisoun AbdelbaqiAnatomic Pathology & Clinical Pathology Physician1770784894
- Sheikh AbdullahStudent in an Organized Health Care Education/Training Program1295567246
- Abdallah Abu Shehab, MDStudent in an Organized Health Care Education/Training Program1467340968
- Sergio Acevedo Cortes, DMDStudent in an Organized Health Care Education/Training Program1265320824
Verify Dongsoo David Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Louisiana board licenses this profession
Search for license 15055RCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $1,308.48
25 payments; by number, the most common kind was food and beverage; the largest payer was KLS-Martin L.P. The 800 providers of this specialty with any payment received $1,463.03 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Lsu Health Sciences Center Shreveport Faculty Group PracticeShreveport, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dongsoo David Kim among 29 oral & maxillofacial surgery (d.m.d.) records in Louisiana
Dongsoo David Kim, DMD, MD is one of 29 oral & maxillofacial surgery (d.m.d.) records with a practice address in Louisiana. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 66% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1998 · median 2009 among the 17 with a school on file
- Record last updated2021 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 204E00000X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral & Maxillofacial Surgery (D.M.D.) providers in Louisiana
There are 29 oral & maxillofacial surgery (d.m.d.) records in Louisiana.
All 29 in Louisiana → Every provider in Shreveport → Oral & Maxillofacial Surgery (D.M.D.) nationwide →
The 8 oral & maxillofacial surgery (d.m.d.) records with the nearest ZIP codes
- Samuel Allen, DDSShreveport, LA 711031952503492
- Fawaz Alotaibi, DDSShreveport, LA 711031033544010
- Yousef Alshamrani, DDSShreveport, LA 711031770969008
- Eric Geist, DDSShreveport, LA 711031942297734
- Abdulrahman Hesham, DDSShreveport, LA 711031144716994
- Ricardo Lugo, DDS, MDShreveport, LA 711031588078224
- Celso PalmieriShreveport, LA 711031104095520
- Jennifer Woerner, DMD, MDShreveport, LA 711031255532842
Common questions
What is Dongsoo David Kim, DMD, MD's NPI number?
Dongsoo David Kim, DMD, MD's National Provider Identifier (NPI) is 1821016957, issued on Jul 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Dongsoo David Kim, DMD, MD located?
The NPPES record lists a practice address at 1501 Kings Hwy, Shreveport, LA, 71103. Phone: (318) 813-2625. Providers update this record themselves, so call before visiting.
How can I verify Dongsoo David Kim, DMD, MD's license?
NPPES lists Louisiana license number 15055R, as entered by the provider. Search the Louisiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.