Organization Active NPI

John Teasang Kim, DDS PLLC

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1982552006
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHN TEASANG KIM, DDS PLLC
Practice address
875 140TH Ave NE Ste 203
Bellevue, WA 98005-3400
Phone
(425) 641-2625
Fax
(425) 641-2624
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
John Teasang Kim, DDSNPI 1518081421
Title
Owner
Phone
(425) 641-2625

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

875 140TH Ave NE Ste 203
Bellevue, WA 98005-3400

Mailing address

875 140TH Ave NE Ste 20334
Bellevue, WA 98005-3400
Phone (425) 641-2625

National Provider Directory

National Provider Directory

Locations

875 140th Ave NE
Ste 203
Bellevue, WA 98005
Phone (425) 451-1199

875 140th Ave NE
Ste 20334
Bellevue, WA 98005

Practitioners & affiliated clinicians

Practitioners 1

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": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1982552006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 140TH AVE NE STE 20334",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053400",
            "telephone_number": "425-641-2625",
            "fax_number": "425-641-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 140TH AVE NE STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053400",
            "telephone_number": "425-641-2625",
            "fax_number": "425-641-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN TEASANG KIM, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TEASANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-641-2625",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.