Christy A Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009151 Issued in WA

Practice address

2310 130TH Ave NE Ste B-102
Bellevue, WA 98005-1799

Phone

(425) 883-3800

Fax

(425) 869-6909

NPI assigned

Sep 25, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Christy a. Kim, D.D.S., P.L.L.C.

  • Dental Clinic/Center
  • Bellevue, WA
  • NPI 1629380506
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1083801906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 130TH AVE NE STE B-102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051799",
            "telephone_number": "425-883-3800",
            "fax_number": "425-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 130TH AVE NE STE B-102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051799",
            "telephone_number": "425-883-3800",
            "fax_number": "425-869-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis J Killory
• Madeline Erin Kilpatrick, LCSW
• Kim M Morita DDS PLLC.
• Alex Giesoo Kim, OD
• Aram Kim
• Diane Kim, PHARM.D.
• Donella Sue-Jung Kim, PHARMD
• Emily Hwang Kim, O.D.
• Eric Minsu Kim, DDS
• Estella Kim

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, 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 Jul 8, 2010; 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.