Lucas Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60902595 Issued in WA

Practice address

33516 9TH Ave S Ste 3
Federal Way, WA 98003-6322

Phone

(253) 815-0441

NPI assigned

Nov 10, 2015

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Kim and L. Kim DDS PLLC

  • Dental Clinic/Center
  • Covington, WA
  • NPI 1104681956
  Authorized official Same address or phone
• Han DDS PLLC

  dba the local dentist

  • Dentist
  • Federal Way, WA
  • NPI 1821840570
  NPD
• Todd G. Yoshino DDS

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1285889790
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1487027538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 NE 9TH PL UNIT 1602",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048644",
            "telephone_number": "253-350-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33516 9TH AVE S STE 3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036322",
            "telephone_number": "253-815-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17265 SE Wax Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980429102",
            "country_code": "US",
            "telephone_number": "253-639-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009363",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60902595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karam Kim
• Katie H Kim, DDS
• Kevin Kim
• Kyung-Eun Kim, LL 60284713
• Lara Kim, ARNP
• Minseok Kim, DD,LD
• Misun Kim
• Nina Lee Kim, D.M.D.
• Pyong C Kim, MD
• Shinsim C Kim, DDS

• General Practice Dentistry in Federal Way, WA
• Providers in Federal Way, 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 Feb 20, 2024; 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.