Chung & Kim, DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60168936 Issued in WA

Legal business name

CHUNG & KIM, DDS, PLLC

Doing business as

Everyone By One-Bellevue

Practice address

1200 112TH Ave NE
Ste B275
Bellevue, WA 98004-3732

Phone

(425) 289-1918

Fax

(425) 451-4029

NPI assigned

Feb 29, 2016

Last updated

May 10, 2016By 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

Stefany M Henderson

Title

Business Office Manager

Phone

(425) 533-2655

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Everyone By One-Bellevue Doing business as

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.

• Stephen Joseph Kim, D.D.S.

  • Pediatric Dentistry
  • Bellevue, WA
  • NPI 1265765473
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1912367210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE",
            "address_2": "STE B275",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043732",
            "telephone_number": "425-289-1918",
            "fax_number": "425-451-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE",
            "address_2": "STE B275",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043732",
            "telephone_number": "425-289-1918",
            "fax_number": "425-451-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG & KIM, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "STEFANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "425-533-2655"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60168936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056867",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everyone By One-Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Chug
• Aahana Chugh, DC
• Everett Chun, DPT
• May Chun
• Sooyoung Chun, ND
• Chung Song Ja Corp (North Seattle Health Center)
• Christina Chung
• Kwok-Hung (Albert) Chung, DDS
• Man Sum Chung, PH.D., LBA, BCBA-D
• Sally Chung, PSY.D.

• Pediatric Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.