Joseph J Kim DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 9988 Issued in WA

Legal business name

JOSEPH J KIM DDS PS

Practice address

300 E 24TH St
Vancouver, WA 98663-3214

Phone

(360) 694-4000

Fax

(360) 694-1647

NPI assigned

Sep 21, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph June Kim, DDSNPI 1427157957

Title

President

Phone

(360) 694-4000

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joseph June Kim, DDS

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1427157957
  Authorized official Same address or phone

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376642801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633214",
            "telephone_number": "360-694-4000",
            "fax_number": "360-694-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633214",
            "telephone_number": "360-694-4000",
            "fax_number": "360-694-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J KIM DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-694-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 9988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5047717",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jorgensen, PHARMD
• Jack Denzil Jorgensen, DMD
• Marta Jorgenson
• Rupam Josan
• Joey Jose Cristobal Jose, APRN
• Joseph Kim Daniel Lee & John Hodges DDS PLLC (Denture Club of Vancouver)
• Lacey Josephsen, CDPT
• Joshua Williams D.M.D. PC (Orchards Family Dental)
• Hannah Joslin, LICSW
• Matthew Joslin

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, 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 Apr 20, 2008; 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.