NPIMap

Organization Active NPI

Lina Kim DDS, PS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1982858148
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009899 Issued in WA
Legal business name
LINA KIM DDS, PS
Practice address
4540 Sand Point Way NE Ste 340
Seattle, WA 98105-3941
Phone
(206) 985-0232
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Dr. Lina Kim, DDS
Title
Owner
Phone
(206) 985-0232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE00009899 WA Primary

Addresses

Primary practice location

4540 Sand Point Way NE Ste 340
Seattle, WA 98105-3941

Mailing address

4540 Sand Point Way NE Ste 340
Seattle, WA 98105-3941
Phone (206) 985-0232

National Provider Directory

National Provider Directory

Locations

4540 Sand Point Way NE
Ste 340
Seattle, WA 98105
Phone (206) 985-0232

Practitioners & affiliated clinicians

Practitioners 3

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": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1982858148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SAND POINT WAY NE STE 340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053941",
            "telephone_number": "206-985-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SAND POINT WAY NE STE 340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053941",
            "telephone_number": "206-985-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINA KIM DDS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-985-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.