NPIMap

Organization Active NPI

Eunice Kim, DDS, PLLC

Doing business as Gentle Dentistry

  • General Practice Dentistry
  • Mount Vernon, WA
National Provider Identifier
1578863999
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60078349 Issued in WA
Legal business name
EUNICE KIM, DDS, PLLC
Doing business as
Gentle Dentistry
Practice address
2100 E Section St
Suite 101
Mount Vernon, WA 98274-9132
Phone
(360) 424-1990
Fax
(360) 424-1994
NPI assigned
Nov 2, 2010
Last updated
Nov 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Dr. Eunice Yooseung Kim, D.D.SNPI 1154570109
Title
Member
Phone
(360) 424-1990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60078349 WA Primary

Addresses

Primary practice location

2100 E Section St
Suite 101
Mount Vernon, WA 98274-9132

Mailing address

2100 E Section St
Suite 101
Mount Vernon, WA 98274-9132
Phone (360) 424-1990

Other names 1

  • Gentle Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2100 E Section St
Ste 101
Mount Vernon, WA 98274
Phone (360) 424-1990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1578863999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E SECTION ST",
            "address_2": "SUITE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749132",
            "telephone_number": "360-424-1990",
            "fax_number": "360-424-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E SECTION ST",
            "address_2": "SUITE 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749132",
            "telephone_number": "360-424-1990",
            "fax_number": "360-424-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNICE KIM, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "YOOSEUNG",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-424-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60078349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.