Danah Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61422173 Issued in WA

Practice address

907 Frontier Cir E Ste 100
Lake Stevens, WA 98258-2423

Phone

(425) 697-9219

NPI assigned

Oct 17, 2014

Last updated

Oct 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1982008066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 SURREY LN SW",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982753674",
            "telephone_number": "248-284-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 FRONTIER CIR E STE 100",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582423",
            "telephone_number": "425-697-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61422173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenbe Afh LLC
• Kelly M Kertz, LMT
• Vilma Agno Khounphixay, LMHC
• Amos Kihara
• Alexander Young Sik Kim
• So Jung Kim
• Harriet Moraa Kimori, ARNP
• Emily Kae King, LMHCA
• Keith D Klein, PT
• Michelle A Klein, PT

• General Practice Dentistry in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.