Minki Kim, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

70124924 Issued in WA

Practice address

411 Strander Blvd Ste 302
Tukwila, WA 98188-2924

Phone

(206) 575-1086

NPI assigned

May 4, 2021

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

Enrolled in MI

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

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1659954816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 SLATER AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345341",
            "telephone_number": "917-456-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STRANDER BLVD STE 302",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882924",
            "telephone_number": "206-575-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 W Government Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981991459",
            "country_code": "US",
            "telephone_number": "206-402-3904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4540 Sand Point Way NE Ste 340",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053941",
            "country_code": "US",
            "telephone_number": "206-985-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINKI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "70124924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byung Kyu Kim, M.D.
• Carrie Kim, MASSAGE THERAPIST
• Christine Kim, OTR, OTD
• Daeyang Kim
• Mary Kim
• Brita E Kimmerly
• Di Marie King, MSW, MHP
• Julie King, PA-C
• Karen Michelle King, M.S.
• Grant Kinnee, PT, DPT

• Periodontics in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.