J. Kim and L. Kim DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

J. KIM AND L. KIM DDS PLLC

Practice address

17265 SE Wax Rd Ste 101
Covington, WA 98042-9102

Phone

(253) 639-6868

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Lucas Kim, DDS

Title

Owner

Phone

(253) 350-7975

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1104681956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 101",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102",
            "telephone_number": "253-639-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 101",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102",
            "telephone_number": "253-639-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. KIM AND L. KIM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-350-7975",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Hunter, D.O.
• Keiyana Hurt
• Trang D Huynh, DDS
• Ayrton T Ibarra
• Khumar I Ibrar, RRT
• Jamela Jabbouri
• Amanda Jackson, D.D.S.
• Louis Jacobson, MD
• Cynthia Jacox, PHD
• Rajwinder Jammu, RPH

• Dental Clinic/Center in Covington, WA
• Providers in Covington, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.