Jimmy Yun & Susan Kim, DDS, PS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JIMMY YUN & SUSAN KIM, DDS, PS

Doing business as

Factoria Pediatric Dentistry

Practice address

12600 SE 38TH St Ste 110
Bellevue, WA 98006-5232

Phone

(425) 614-3000

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy S Yun, D.D.S.NPI 1871662544

Title

President

Phone

(425) 614-3000

Specialties & licenses 1

Addresses

Other names 1

• Factoria Pediatric Dentistry Doing business as

Locations

Practitioners 2

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

• Jimmy S Yun, D.D.S.

  • Pediatric Dentistry
  • Bellevue, WA
  • NPI 1871662544
  NPD (past) Authorized official
• Susan S Kim, D.D.S.

  • Pediatric Dentistry
  • Bellevue, WA
  • NPI 1033219936
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356410955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065232",
            "telephone_number": "425-614-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY YUN & SUSAN KIM, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-614-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Factoria Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly V Jimenez Garay
• Nicole Victoria Jimenez, DPT
• Pedro Jimenez
• Samantha Jimenez, PSY.D.
• Azalech Jimma, NURSE
• Jordan E Jin, OD
• Junmei Jin
• Yingshan Jin
• Ziyu Jin
• Jin'S Acupuncture Clinic Corp

• 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 Aug 22, 2020; 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.