Active NPI
Linda Kim
- Dentist
- Seattle, WA
National Provider Identifier
1457773038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60405712
- Practice address
- 3701 S Hudson St Apt 410
Seattle, WA 98118-2162 - Phone
- (860) 729-9819
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60405712 | WA | Primary |
Addresses
Primary practice location
3701 S Hudson St Apt 410
Seattle, WA 98118-2162
Mailing address
3701 S Hudson St Apt 410
Seattle, WA 98118-2162
Phone (860) 729-9819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60405712 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1457773038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S HUDSON ST APT 410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182162",
"telephone_number": "860-729-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S HUDSON ST APT 410",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182162",
"telephone_number": "860-729-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60405712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.