NPIMap

Organization Active NPI

Kim Aun DDS PS

Doing business as University Place Family & Cosmetic Dentistry

  • General Practice Dentistry
  • University Place, WA
National Provider Identifier
1558416586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE9156 Issued in WA
Legal business name
KIM AUN DDS PS
Doing business as
University Place Family & Cosmetic Dentistry
Practice address
2607 Bridgeport Way W
Suite 1K
University Place, WA 98466-4700
Phone
(253) 564-2701
Fax
(253) 566-3638
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Prasith Kim-Aun, DMD
Title
President
Phone
(253) 564-2701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE9156 WA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DE9609 WA

Addresses

Primary practice location

2607 Bridgeport Way W
Suite 1K
University Place, WA 98466-4700

Mailing address

2607 Bridgeport Way W
Suite 1K
University Place, WA 98466-4700
Phone (253) 564-2701

Other names 1

  • University Place Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558416586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "SUITE 1K",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-564-2701",
            "fax_number": "253-566-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "address_2": "SUITE 1K",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-564-2701",
            "fax_number": "253-566-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AUN DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM-AUN",
        "authorized_official_first_name": "PRASITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-564-2701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9156",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE9609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Place Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • 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.