Steven Kim DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7445 Issued in WA

Legal business name

STEVEN KIM DDS PLLC

Practice address

33428 SE Redmond Fall City Rd
Fall City, WA 98024

Phone

(425) 222-5121

NPI assigned

Jun 12, 2017

Last updated

Jun 12, 2017By 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

Dr. Steven Moonchin Kim, DDS

Title

Owner/Dentist

Phone

(425) 222-5121

Specialties & licenses 1

Addresses

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.

• Rockwell Hammond Jr., DMD

  • Dentist
  • Fall City, WA
  • NPI 1649307976
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1730618844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980240396",
            "telephone_number": "425-222-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33428 SE REDMOND FALL CITY RD",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "98024",
            "telephone_number": "425-222-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN KIM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MOONCHIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "425-222-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "7445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Saxon, RN
• Nicole Amber Berry Schick, M.D.
• Katrina Marie Schoettler, RDN
• Katherine Smith
• Naomi Stansberry
• Karyn Marie Summers, LMHCA
• Nathaniel J Swan III, DC
• Erin Anne Tully Treiber, OTR/L
• Mary Grace Weber
• Rachel Werth

• Dental Clinic/Center in Fall City, WA
• Providers in Fall City, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.