Organization Active NPI

Jin Y Kim DDS, PS

Doing business as Jen Kim Dentistry

  • Dental Clinic/Center
  • Kirkland, WA
National Provider Identifier
1245188572
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JIN Y KIM DDS, PS
Doing business as
Jen Kim Dentistry
Practice address
11819 98TH Ave NE
Kirkland, WA 98034-4214
Phone
(425) 284-4450
NPI assigned
Mar 20, 2026
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Jin Young Kim, DDSNPI 1861503179
Title
Owner
Phone
(425) 284-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11819 98TH Ave NE
Kirkland, WA 98034-4214

Mailing address

11819 98TH Ave NE
Kirkland, WA 98034-4214
Phone (425) 284-4450

Other names 1

  • Jen Kim Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11819 98th Ave NE
Kirkland, WA 98034
Phone (425) 284-4450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1245188572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 98TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344214",
            "telephone_number": "425-284-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 98TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344214",
            "telephone_number": "425-284-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN Y KIM DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-284-4450",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jen Kim Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.