Active NPI
Eunice Yooseung Kim, D.D.S.
- General Practice Dentistry
- Seattle, WA
National Provider Identifier
1154570109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DR60024944
- Practice address
- 1959 NE Pacific St
HSB B 316 Dept of Oral Medicine
Seattle, WA 98195-0001 - Phone
- (206) 543-7496
- NPI assigned
- Sep 15, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DR60024944 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
HSB B 316 Dept of Oral Medicine
Seattle, WA 98195-0001
Mailing address
1959 NE Pacific St
HSB B 316 Dept of Oral Medicine
Seattle, WA 98195-0001
Phone (206) 543-7496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR60024944 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eunice Kim, DDS, PLLC | General Practice | Past | Accepting new patients |
| Gentle Dentistry | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Mount Vernon, WA
- NPI 1578863999
-
- General Practice Dentistry
- Mount Vernon, WA
- NPI 1205089232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1154570109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "HSB B 316 DEPT OF ORAL MEDICINE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-543-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "HSB B 316 DEPT OF ORAL MEDICINE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-543-7496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUNICE",
"middle_name": "YOOSEUNG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DR60024944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.