Shioon Kim, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010243 Issued in WA

Practice address

19351 8TH Ave NE Ste 171
Poulsbo, WA 98370-7087

Phone

(360) 697-2777

Fax

(360) 697-2711

NPI assigned

Jun 23, 2009

Sex

Male

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

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.

• Sunrise Dental

  • General Practice Dentistry
  • Poulsbo, WA
  • NPI 1831542984
  NPD Authorized official
• Sunrise Dental

  • Dentist
  • Poulsbo, WA
  • NPI 1851760599
  NPD
• Hwang Ghorbanian Im II DDS PS

  • General Practice Dentistry
  • Everett, WA
  • NPI 1700494747
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1659509222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 171",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-697-2777",
            "fax_number": "360-697-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 171",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-697-2777",
            "fax_number": "360-697-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SHIOON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Claire Kelly, LMHC,
• Ashley Marie Kennedy, MSW
• Kristin L Kennedy, LMHC
• Nathan P Kerestes, DO
• Anna Magdalena Kielak
• George Kina, M.D.
• Erica Lynn Kinerk, RDH
• Jorgie Katherine Kinerk, RDH
• Eve King-Hill, MA, LMHC
• Jonathan King, E.A.M.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.