Catherine B. Kim, DMD, L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CATHERINE B. KIM, DMD, L.L.C.

Doing business as

The Smile Haus

Practice address

14649 SW Teal Blvd Ste 649
Beaverton, OR 97007-6194

Phone

(503) 516-4425

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 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

Dr. Catherine Bom Kim, DMDNPI 1003268319

Title

General Dentist/Owner

Phone

(503) 516-4425

Specialties & licenses 1

Addresses

Other names 1

• The Smile Haus Doing business as

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.

• Catherine Bom Kim, D.M.D.

  • Dentist
  • Beaverton, OR
  • NPI 1003268319
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1780447532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 NW SCHALL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292552",
            "telephone_number": "503-516-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14649 SW TEAL BLVD STE 649",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076194",
            "telephone_number": "503-516-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE B. KIM, DMD, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "BOM",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "503-516-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Haus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kailey Brianne Castro, OTR/L
• Richard E Castro, D.D.S.
• Carlo Magno Donor Catabijan
• Catalyst Chiropractic and Rehabilitation PC (Catalyst Chiropractic and Rehab)
• Nadege Vaimiti Cates
• Sydney Cathersal
• Ishbel Cavaleri, NTP
• Mira Mahendra Cavanaugh, MA, LPC, ATR
• Colin Cave, M.D.
• Anna P Caviglia, WHCNP

• Health Service Clinic/Center in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.