Active NPI
Jeung Kim
- Dental Hygienist
- Edmonds, WA
National Provider Identifier
1962809095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Practice address
- 7806 175TH St SW
Edmonds, WA 98026-5026 - Phone
- (206) 734-2175
- NPI assigned
- Dec 4, 2014
- Last updated
- Dec 4, 2014
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | WA | Primary |
Addresses
Primary practice location
7806 175TH St SW
Edmonds, WA 98026-5026
Mailing address
7806 175TH St SW
Edmonds, WA 98026-5026
Phone (206) 734-2175
Other names 1
- Mrs. Jeung Lee
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1962809095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7806 175TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980265026",
"telephone_number": "206-734-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7806 175TH ST SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980265026",
"telephone_number": "206-734-2175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JEUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-04",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEUNG",
"last_name": "LEE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.