Donghyun Kim, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE61558983 Issued in WA

Practice address

16825 Smokey Point Blvd
Arlington, WA 98223-8407

Phone

(360) 653-5197

NPI assigned

Oct 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kim and Lee, DMDS, PLLC

  • Dentist
  • Arlington, WA
  • NPI 1083448708
  NPD Authorized official

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1932503117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16825 SMOKEY POINT BLVD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238407",
            "telephone_number": "360-653-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 SMOKEY POINT BLVD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238407",
            "telephone_number": "360-653-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DONGHYUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30470",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61558983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Keuss, COTA
• Kevin a Harrison, DDS, PS
• Leapha Anne Keylon, MSW, LCSW
• Rabia N Khara
• Kim and Lee, DMDS, PLLC
• Edward Kim
• Hannah Linda Kim, M.D.
• Jena Kim
• Peter H Kim, D.D.S.
• Tiffanie P.O. Kimura, RDH

• Dentist in Arlington, WA
• Providers in Arlington, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.