Active NPI
Catherine Im, D.D.S.
- Dentist
- Renton, WA
National Provider Identifier
1831201722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9140
- Practice address
- 400 S 38TH CT Ste B
Renton, WA 98055-5756 - Phone
- (425) 271-4522
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9140 | WA | Primary |
Addresses
Primary practice location
400 S 38TH CT Ste B
Renton, WA 98055-5756
Mailing address
20910 184TH Ave SE
Renton, WA 98058-9728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9140 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine Im DDS PLLC | Current | Accepting new patients |
Locations
400 S 38th Ct
Ste B
Renton, WA 98055
Phone (425) 271-4522
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Renton, WA
- NPI 1164361259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831201722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20910 184TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980589728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 38TH CT STE B",
"city": "RENTON",
"state": "WA",
"postal_code": "980555756",
"telephone_number": "425-271-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IM",
"first_name": "CATHERINE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "9140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.