Jiyon Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00009692 Issued in WA

Practice address

344 Morris Ave S
Renton, WA 98057-2521

Phone

(425) 226-6227

Fax

(425) 226-6313

NPI assigned

Oct 27, 2006

Last updated

Mar 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 WA

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

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1124104856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MORRIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572521",
            "telephone_number": "425-226-6227",
            "fax_number": "425-226-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MORRIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572521",
            "telephone_number": "425-226-6227",
            "fax_number": "425-226-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIYON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyon Chong Kim, M.D.
• Jae Hee Kim, PHARM.D
• Janet Milae Kim
• Jinho Eugene Kim, MD
• Jinsoo Kim, MD
• Jiyun Kim, MD
• Kristine Jihae Kim, PHARMD
• Mercedes Gosnell Kim, CNA, SUDP-T
• Mi Sun Kim, APRN
• Natalie Kim, LMFTA

• General Practice Dentistry in Renton, WA
• Providers in Renton, 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 Mar 17, 2016; 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.