Active NPI
Minseok Kim, DD,LD
- Denturist
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- DN 60300984
- Practice address
- 30810 Pacific Hwy S Ste B
Federal Way, WA 98003-4982 - Phone
- (253) 886-0855
- NPI assigned
- Aug 6, 2013
- Last updated
- May 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Denturist | 122400000X | DN 60300984 | WA | Primary |
Addresses
Primary practice location
30810 Pacific Hwy S Ste B
Federal Way, WA 98003-4982
Mailing address
30818 Pacific Hwy S
Federal Way, WA 98003-4902
Phone (253) 839-1505
Other practice location 1
18802 Mountain View Dr E Ste A
Bonney Lake, WA 98391-7110
Phone (253) 750-4164
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 |
|---|---|---|---|
| DN 60300984 | WA | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Facial Prosthetic and Hearing Service Corp | Denturist | Current | Accepting new patients |
Organizations & group practices 4
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.
-
dba Comfy Denture & Hearing Clinic
- Denturist
- Kent, WA
- NPI 1063233674
-
dba comfy Denture & Hearing Clinic
- Denturist
- Bonney Lake, WA
- NPI 1174066484
-
dba Kent dental implant center
- Dentist
- Kent, WA
- NPI 1063336873
-
dba Comfy Denture & Hearing Clinic
- Denturist
- Federal Way, WA
- NPI 1437584349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1609208214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30818 PACIFIC HWY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034902",
"telephone_number": "253-839-1505",
"fax_number": "253-941-3896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30810 PACIFIC HWY S STE B",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034982",
"telephone_number": "253-886-0855"
}
],
"practiceLocations": [
{
"address_1": "18802 Mountain View Dr E Ste A",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983917110",
"country_code": "US",
"telephone_number": "253-750-4164",
"fax_number": "253-941-3896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "MINSEOK",
"credential": "DD,LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "WA",
"license": "DN 60300984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.