Julie Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60789538 Issued in WA

Practice address

25610 104TH Ave SE
Kent, WA 98030-7610

Phone

(253) 850-9777

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Nurani, Mitchell, Kim, PC

  • Dentist
  • Kent, WA
  • NPI 1053756049
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1447636618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 165TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25610 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307610",
            "telephone_number": "253-850-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JULIE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60789538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena V Kim, LMP
• Grace Kim, LMP
• Hye Ryun Helen Kim, OTR/L, CHT
• Jinny Kim, M.D.
• Joyce Song Kim, L.AC.
• Moonchin Kim, D.D.S.
• Nam Hoon Kim, L. AC.
• Regina J H Kim, MD
• Sharon Kim
• Sue Kim, DDS

• General Practice Dentistry in Kent, WA
• Providers in Kent, 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 Oct 10, 2017; 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.