NPIMap

Organization Active NPI

Sunrise Dental

  • General Practice Dentistry
  • Poulsbo, WA
National Provider Identifier
1831542984
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SE00010243 Issued in WA
Legal business name
SUNRISE DENTAL
Doing business as
Sunrise Dental of Poulsbo
Practice address
19351 8TH Ave NE Ste 171
Poulsbo, WA 98370-7087
Phone
(360) 697-2777
Fax
(360) 697-2711
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Dr. Shioon Kim, D.M.DNPI 1659509222
Title
Owner
Phone
(206) 313-4594

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X SE00010243 WA Primary

Addresses

Primary practice location

19351 8TH Ave NE Ste 171
Poulsbo, WA 98370-7087

Mailing address

19351 8TH Ave NE Ste 171
Poulsbo, WA 98370-7087
Phone (360) 697-2777

Other names 1

  • Sunrise Dental of Poulsbo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19351 8th Ave NE
Ste 211
Poulsbo, WA 98370

19351 8th Ave NE
Ste 171
Poulsbo, WA 98370
Phone (360) 697-2777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1831542984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 171",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-697-2777",
            "fax_number": "360-697-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19351 8TH AVE NE STE 171",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707087",
            "telephone_number": "360-697-2777",
            "fax_number": "360-697-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SHIOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-313-4594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "SE00010243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental of Poulsbo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.