Mint Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MINT PEDIATRIC DENTISTRY, LLC

Practice address

1500 145TH PL SE
Bellevue, WA 98007-5516

Phone

(425) 321-0833

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Amelia Chim, DDSNPI 1003234899

Title

Owner

Phone

(206) 383-9338

Specialties & licenses 1

Addresses

Other names 1

• Mint Kids Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amelia Chim

  • Pediatric Dentistry
  • Seattle, WA
  • NPI 1003234899
  NPD Authorized official

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1336078385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12316 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 145TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075516",
            "telephone_number": "425-321-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "CHIM",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-383-9338",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart Minkin, MD
• Kathryn Minney, BT
• John B Minnoch, DDS
• Minor & James Medical PLLC
• Mint Kids Dentistry
• Margaret Mioduszewski, M.D.
• Trinna Miranda
• Susanna R Mirel, ARNP
• Arash Mirzaie Amirabadi, MD
• Steve J Mischke, R.PH.

• 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 May 15, 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.