Sue J. Kim, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUE J. KIM, DDS, PLLC

Practice address

15610 SE 272ND St Ste A103
Covington, WA 98042-4416

Phone

(253) 334-6738

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue KimNPI 1972986107

Title

Owner

Phone

(253) 334-6738

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sue Kim, DDS

  • Dentist
  • Kent, WA
  • NPI 1972986107
  NPD Authorized official

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1689434771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 98TH AVENUE CT E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983712113",
            "telephone_number": "253-334-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15610 SE 272ND ST STE A103",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424416",
            "telephone_number": "253-334-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE J. KIM, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-334-6738"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Jensen Stolworthy, PA-C
• Patricia Ann Stone, LMP, CR
• Tatyana A. Storozhuk, PA-C
• Michael W Strunk, MD
• Noah Ryan Sturgill
• Celita Louise Summerrise
• Carl Swanstrom, PHD
• Michael Sycz Jr., M.A. BCBA, LBA
• Matin Syed
• John Leo Szrejter, ASSOCIATES DEGREE

• General Practice Dentistry in Covington, WA
• Providers in Covington, 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 Mar 19, 2024; 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.