Ji Kim-Aun, DDS, Prasith Kim-Aun, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE9609 Issued in WA

Legal business name

JI KIM-AUN, DDS, PRASITH KIM-AUN, DDS, PLLC

Doing business as

Ambaum Dental Arts

Practice address

14400 Ambaum Blvd SW
Suite Q
Burien, WA 98166-1446

Phone

(206) 244-0956

Fax

(206) 244-1017

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ji Young Kim-Aun, DDS

Title

Dentist

Phone

(206) 244-0956

Specialties & licenses 1

Addresses

Other names 1

• Ambaum Dental Arts Doing business as

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1043406507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 AMBAUM BLVD SW",
            "address_2": "SUITE Q",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661446",
            "telephone_number": "206-244-0956",
            "fax_number": "206-244-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 AMBAUM BLVD SW",
            "address_2": "SUITE Q",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661446",
            "telephone_number": "206-244-0956",
            "fax_number": "206-244-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JI KIM-AUN, DDS, PRASITH KIM-AUN, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KIM-AUN",
        "authorized_official_first_name": "JI",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-244-0956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambaum Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evie Marie Jensen, BS, AAC
• Liam Jerez
• Michelle Jervis, RN
• Barbara Green Jessen, M.D.
• Cathleen Jessup, P.T.
• Kun Won Ji, L.AC, L.MP,
• Benjamin Johns
• Brian R Johnson Jr., LMT
• Daniel K Johnson, DPM
• Eric Steven Johnson, LMHCA

• General Practice Dentistry in Burien, WA
• Providers in Burien, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.