Stephen Joseph Kim, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE 60100276 Issued in WA

Practice address

1200 112TH Ave NE Ste B275
Bellevue, WA 98004-3738

Phone

(425) 289-1918

NPI assigned

Sep 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chung & Kim, DDS, PLLC

  • Pediatric Dentistry
  • Bellevue, WA
  • NPI 1912367210
  NPD (past)
• James M Thomas DDS Ms PLLC

  • Pediatric Dentistry
  • Bellevue, WA
  • NPI 1063754661
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265765473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE 275",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043732",
            "telephone_number": "425-289-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE B275",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043738",
            "telephone_number": "425-289-1918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15151 NE 81st Way",
            "address_2": "Unit 105",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980524217",
            "country_code": "US",
            "telephone_number": "206-265-9529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60100276",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE 60100276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nam Hyoung Kim, LAC., OMD
• Sang U Kim, M.D.
• Sean Kim, DC
• Seongeun Kim, PHARM.D
• Sooyeon Kim, M.D.
• Steve Hoonsang Kim, M.D.
• Sun Hu Kim, PHARMD
• Sung Ho Kim, L.AC.
• Susan S Kim, D.D.S.
• Tae Ho Kim, DAC, EAMP

• Pediatric Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.