Kim & Kim, DDS, PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8256 Issued in WA

Legal business name

KIM & KIM, DDS, PS

Practice address

10217 19TH Ave SE Ste 202
Everett, WA 98208-4266

Phone

(425) 337-3737

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Kim, DDSNPI 1063429447

Title

President

Phone

(425) 337-3737

Specialties & licenses 1

Addresses

Other names 1

• Gentle Smile Dental 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.

• Charles Junghyun Kim, DDS

  • General Practice Dentistry
  • Everett, WA
  • NPI 1063429447
  NPD (past) Authorized official
• Young Kim, DDS

  • General Practice Dentistry
  • Everett, WA
  • NPI 1881601268
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407060478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-337-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 202",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-337-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & KIM, DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-337-3737",
        "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": "DE8256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samwise Kiebel
• Alefu Riskey Kifle
• Peter James Kilen, M.D.
• Benjamin Killey, MD
• Dennell Kilmer
• Kim Alan McGinnis DDS
• Kim Trieu, DDS, PLLC
• Alice Kim, PHARMD
• Bryan Kim, MD
• Caleb Youngho Kim

• General Practice Dentistry in Everett, WA
• Providers in Everett, 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 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.