Active NPI
Borah Kim, DDS
- Dentist
- Seatac, WA
National Provider Identifier
1073137386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61145814
- Practice address
- 4040 S 188TH St Ste 201
Seatac, WA 98188-5070 - Phone
- (206) 439-2149
- Fax
- (206) 277-7202
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE61145814 | WA | Primary |
Addresses
Primary practice location
4040 S 188TH St Ste 201
Seatac, WA 98188-5070
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311
Other practice location 1
23320 Highway 99
Edmonds, WA 98026-8744
Phone (425) 640-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkim29932@healthpoint.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210820000835 | WA | Order and Referring Only - Dentist | 8022413673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1073137386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908",
"telephone_number": "425-277-1311",
"fax_number": "425-277-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S 188TH ST STE 201",
"city": "SEATAC",
"state": "WA",
"postal_code": "981885070",
"telephone_number": "206-439-2149",
"fax_number": "206-277-7202"
}
],
"practiceLocations": [
{
"address_1": "23320 Highway 99",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980268744",
"country_code": "US",
"telephone_number": "425-640-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BORAH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61145814",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkim29932@healthpoint.direct-ci.com",
"affiliation": "N",
"address_1": "4040 S 188th St Ste 201",
"city": "Seatac",
"state": "WA",
"country_code": "US",
"postal_code": "981885070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seatac, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.