Active NPI
Eric N Kim, DDS
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1992856348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8001
- Practice address
- 5018 E Burnside St
Portland, OR 97215-1151 - Phone
- (503) 231-9995
- Fax
- (503) 231-9087
- NPI assigned
- Jan 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8001 | OR | Primary |
Addresses
Primary practice location
5018 E Burnside St
Portland, OR 97215-1151
Mailing address
5018 E Burnside St
Portland, OR 97215-1151
Phone (503) 231-9995
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8001 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1992856348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5018 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151151",
"telephone_number": "503-231-9995",
"fax_number": "503-231-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5018 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151151",
"telephone_number": "503-231-9995",
"fax_number": "503-231-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "ERIC",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-14",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "8001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.