Laura Shim, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE61543342 Issued in WA

Practice address

3300 W McGraw St Ste 210
Seattle, WA 98199

Phone

(206) 848-7222

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• L Shim DMD Ms PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
  • NPI 1023903994

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official
• Washington Dental Corporation PC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1114324795
  NPD (past)
• Washington Dental Corporation, PC

  • General Practice Dentistry
  • Puyallup, WA
  • NPI 1417384348
  NPD (past)
• Dental Professionals of Illinois, P.C.

  • General Practice Dentistry
  • Joliet, IL
  • NPI 1528271889
  NPD (past)

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1083065635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W MCGRAW ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W MCGRAW ST STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98199",
            "telephone_number": "206-848-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16810 Meridian E Ste J107",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983759604",
            "country_code": "US",
            "telephone_number": "253-848-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16330 SE 256th St",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980424233",
            "country_code": "US",
            "telephone_number": "253-246-7403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIM",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE61543342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wes Dawson Shill
• Cassandra Shilling
• Kalison Shilvock
• Alicia Shim
• Jun Yong Shim
• Mi-Hyun Mia Shim, M.D./M.P.H.
• Katherine Shimada, MSW
• Yoichiro Shimada, PA
• Cynthia Eng Shimasaki, ARNP
• Michael Gary Shimensky, HEAD TRAINER

• All providers in Seattle, WA
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.

Verify at the official NPI Registry.