Max Kim

Primary specialty

DentistTaxonomy code 122300000X

License

DE61323747 Issued in WA

Practice address

1800 Cooper Point Rd SW Ste 23
Olympia, WA 98502-1179

Phone

(360) 352-1330

NPI assigned

Oct 12, 2022

Sex

Male

Sole proprietor

No

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

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 and National Provider Directory roles.

• Leah Olson DMD PLLC

  • Dental Clinic/Center
  • Olympia, WA
  • NPI 1114709466
  NPD
• Leah Olson DMD PLLC

  • Dental Clinic/Center
  • Olympia, WA
  • NPI 1205618659
  NPD
• Dental Professionals of Washington Quirt Mongrain Gibree PC

  • General Practice Dentistry
  • Chehalis, WA
  • NPI 1316564925
  NPD (past)
• R.C. Downing DDS PS

  • Dentist
  • Chehalis, WA
  • NPI 1700241734
  NPD (past)

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1639894652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 23",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "360-352-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW STE 23",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021179",
            "telephone_number": "360-352-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61323747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kim, PHARMD, BCACP
• Dongho Kim
• Elizabeth Kim, MD
• Jeongah Kim
• Joseph Kwangwook Kim, MD
• Seong Eun Kim, OTR/L
• Sujin Kim, PH60639568
• Sung-Won Kim, M.D.
• Woori Elizabeth Kim, PHARMD
• Youngeun Kim, DDS

• Dentist in Olympia, WA
• Providers in Olympia, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.