Ahyoung Amber Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60084760 Issued in WA

Practice address

15668 W Valley Hwy
Tukwila, WA 98188-5534

Phone

(425) 430-9099

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• K Hsue

  • Dentist
  • Tukwila, WA
  • NPI 1558602896
  NPD (past)
• S. H. Nguyen, Inc

  • Dentist
  • Tukwila, WA
  • NPI 1780828145
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1629301148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 41ST AVE SW",
            "address_2": "APT 414",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164570",
            "telephone_number": "617-699-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15668 W VALLEY HWY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885534",
            "telephone_number": "425-430-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AHYOUNG AMBER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60084760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Kerekes
• Raiyan Khan
• Peyapong Khoeun
• Michael Claude Kilbourne, MA, LMHC
• Megan Jane Kilcup, PHARMD
• Byung Kyu Kim, M.D.
• Carrie Kim, MASSAGE THERAPIST
• Christine Kim, OTR, OTD
• Daeyang Kim
• Mary Kim

• General Practice Dentistry in Tukwila, WA
• Providers in Tukwila, 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 Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.