Roderick Kim, DDS, MD
NPI 1689954562 · Oral & Maxillofacial Surgery (D.M.D.) · Fort Worth, TX
Enrolled with Medicare as Practitioner - Maxillofacial Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roderick Kim, DDS, MD is a Oral & Maxillofacial Surgery (D.M.D.) provider in Fort Worth, TX (NPI 1689954562).
Provider details
- NPI number
- 1689954562
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS, MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32838 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
14 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,077 across 30 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-23
- Last updated
- 2024-06-26
- Certified
- 2024-06-26
Frequently asked questions
- What is Roderick Kim's NPI number?
- Roderick Kim's National Provider Identifier (NPI) is 1689954562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roderick Kim's specialty?
- Roderick Kim is listed in the NPPES registry with a primary specialty of Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Roderick Kim located?
- Roderick Kim's practice location on file with NPPES is 1500 S Main St Dept of, Fort Worth, TX 76104-4917.
- What is Roderick Kim's phone number?
- The practice phone number listed in the NPPES registry for Roderick Kim is (817) 702-6936.
- Does Roderick Kim accept Medicare?
- Roderick Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roderick Kim's NPI active?
- Yes — Roderick Kim's NPI (1689954562) is active in the NPPES registry as of the last update on 2024-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.