NPPES file of Aug 9, 2026

Ted Tae Yul Im, DDS

Dentist · Moreno Valley, CA

Ted Tae Yul Im, DDS is a dentist with a practice address in Moreno Valley, California, and NPI 1114083193, issued on Dec 28, 2006. Check the license (California 40950, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114083193
Name
Ted Tae Yul Im
Credential
DDS
Primary taxonomy
Dentist 122300000X
License number
40950 CA
Self-reported in NPPES; status is on the state search
Practice location
23205 Sunnymead Blvd, Moreno Valley, CA 92553
Phone
(951) 242-6242
Enumerated
Dec 28, 2006
Record last updated
Sep 19, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(951) 242-4782
Medicaid ID
D40950 CA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Ted Tae Yul Im in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 40950
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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43% fewer Medicare Part D claims than the average dentist in 2024

49 Medicare Part D claims for 33 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Ted Im49
  2. Specialty average86

Most prescribed

  1. Amoxicillin31 claims
  2. Ibuprofen11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Ted Tae Yul Im among 14,729 dentist records in California

Ted Tae Yul Im, DDS is one of 14,729 dentist records with a practice address in California. 56% 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 2% of them.

  • NPI issued2006 · 2% of these records are older, 82% newer
  • In a Medicare fileYes · 56% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2016 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

39 dentist records list a practice address in Moreno Valley

They are 39 of the 2,698 NPPES records with a practice address in Moreno Valley, and 14,729 dentist records in California.

The 8 dentist records with the nearest ZIP codes

  1. David Castillo, D.D.SMoreno Valley, CA 925531972866176
  2. James Dickey, DDSMoreno Valley, CA 925531609931203
  3. Julieta Echeverria, DDSMoreno Valley, CA 925531548489974
  4. Mervin Ellstrom, DDSMoreno Valley, CA 925531083052138
  5. Suzanne Jensen, DDSMoreno Valley, CA 925531346569670
  6. Hyun Kim, DDSMoreno Valley, CA 925531497930457
  7. Premalkumar NaikmaganlalMoreno Valley, CA 925531427196492
  8. Kaitlyn Nguyen, D.D.S.Moreno Valley, CA 925531356465512

Common questions

What is Ted Tae Yul Im, DDS's NPI number?

Ted Tae Yul Im, DDS's National Provider Identifier (NPI) is 1114083193, issued on Dec 28, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Ted Tae Yul Im, DDS located?

The NPPES record lists a practice address at 23205 Sunnymead Blvd, Moreno Valley, CA, 92553. Phone: (951) 242-6242. Providers update this record themselves, so call before visiting.

How can I verify Ted Tae Yul Im, DDS's license?

NPPES lists California license number 40950, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Ted Tae Yul Im, DDS prescribe under Medicare Part D?

In 2024, Ted Tae Yul Im, DDS had 49 Medicare Part D claims for 33 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions 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.