Eric Minsu Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61190122 Issued in WA

Practice address

11216 NE 15TH St Ste a
Bellevue, WA 98004-3724

Phone

(425) 454-3221

NPI assigned

Aug 1, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sleep Better Bellevue PLLC

  • Customized Equipment (DME)
  • Bellevue, WA
  • NPI 1023778750

  Dentist

  NPD
• Anabella Dental

  • Dentist
  • Bellevue, WA
  • NPI 1316886260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1013680313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 NE 15TH ST STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043724",
            "telephone_number": "425-454-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11216 NE 15TH ST STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043724",
            "telephone_number": "425-454-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERIC",
        "middle_name": "MINSU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61190122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aram Kim
• Christy A Kim, D.D.S.
• Diane Kim, PHARM.D.
• Donella Sue-Jung Kim, PHARMD
• Emily Hwang Kim, O.D.
• Estella Kim
• Greg S Kim, D.C.
• Hea Yoon Kim, MA
• Helen Hyo Soon Kim, M.D.
• Helen Young Ok Kim

• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.