In Jeong Min, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

70025953 Issued in WA

Practice address

12826 SE 40TH LN Ste 201
Bellevue, WA 98006-4276

Phone

(425) 641-5303

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• In J Min Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1164100327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064276",
            "telephone_number": "425-641-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064276",
            "telephone_number": "425-641-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "IN JEONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "70025953",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IN",
            "last_name": "MIN",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yuliya M Milshteyn, PHARM.D.
• Claudia M Milunovich, MA
• Dana Michelle Vetter Min, DDS
• Deborah Yong-Hyun Min, DC, MSAOM
• George Guiho Min, M.D.
• SE Won Min
• Eiji Minami, MD
• Mind Links Consulting PLLC
• Mackenzie Minehan, MD
• Grace Adina Miner

• 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 Oct 18, 2025; 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.