DR. SUSAN S KIM (NPI# 1033219936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033219936 |
| Entity Type | Individual |
| Full Name | DR. SUSAN S KIM |
| Credential | D.D.S. |
| Practice Address |
12600 Se 38th St Suite 110 Bellevue WA 98006-6105 |
| Practice Telephone | 4256143000 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE00009731 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1184263634 | Susan Kim | Pharmacist | 14529 28th Dr Se, Mill Creek, WA 98012-5707 | 2020-01-02 |
| 1548780901 | Susan Kim | Marriage & Family Therapist | 12625 High Bluff Dr Ste 103, San Diego, CA 92130-2053 | 2017-06-26 |
| 1013371210 | Susan Kim | Pharmacist | 192 Orchard Park Dr, Apt 287, Davis, CA 95616-5343 | 2016-04-13 |
| 1861893000 | Susan Kim | Dietitian, Registered | 21011 Storrs Rd, Sackets Harbor, NY 13685-3172 | 2014-09-08 |
| 1033559505 | Susan Kim | Counselor | 2900 Eastlake Ave E, Suite 220, Seattle, WA 98102-3012 | 2013-06-28 |
| 1538424080 | Susan Soojin Kim | Specialist | 12 Sterling Pl, 1st Fl, Edgewater, NJ 07020-1415 | 2012-07-11 |
| 1427202456 | Susan Youn Kim | Optometrist | 3184 Queens East St, Eugene, OR 97401-8525 | 2008-11-04 |
| 1184807257 | Susan J. Kim | Physical Medicine & Rehabilitation | 7703 Floyd Curl Dr, Mc7798, San Antonio, TX 78229-3901 | 2007-12-12 |
| 1619019429 | Susan Kim | Acupuncturist | 4950 Wilshire Blvd, Los Angeles, CA 90010-3805 | 2007-02-12 |
| Street Address |
12600 SE 38TH ST SUITE 110 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316966658 | Roger S Chin | Dentist | 12600 Se 38th St, Ste 100, Bellevue, WA 98006-6105 | 2006-07-18 |
| 1154714533 | Rts, Inc. | Community/Behavioral Health | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2015-03-10 |
| 1962842559 | Vaishali Verma | Naturopath | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2013-06-27 |
| 1124368428 | Jolie Steers | Marriage & Family Therapist | 12600 Se 38th St, #130, Bellevue, WA 98006-6105 | 2013-02-22 |
| 1174863781 | Jennie Temple | Counselor | 12600 Se 38th St, Suite 235, Bellevue, WA 98006-6105 | 2013-02-19 |
| 1679836134 | Sage Medical Group Pllc | Non-Pharmacy Dispensing Site | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2012-06-20 |
| 1194095752 | Washington Eye Care Pllc | Ophthalmology | 12600 Se 38th St, Suite 108, Bellevue, WA 98006-6105 | 2012-01-12 |
| 1649551037 | Sage Medical Group | General Practice | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2011-08-30 |
| 1851697072 | Phi-lan Hoang Nguyen | Acupuncturist | 12600 Se 38th St, Ste. #130, Bellevue, WA 98006-6105 | 2011-02-04 |
| 1487963229 | Irina P Beckner | Physical Therapist | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848463 | Yu Ong | Dentist | 914 140th Ave Ne Ste 101, Bellevue, WA 98005-3482 | 2015-08-03 |
| 1841571254 | Lisa Yu Dds PC | Dentist | 12826 Se 40th Ln Ste 101, Bellevue, WA 98006-5266 | 2011-08-31 |
| 1508012063 | Sue Jeong Choi | Dentist | 5204 Somerset Dr Se, Bellevue, WA 98006-4259 | 2008-08-14 |
| 1922260793 | Sookyung Jun | Dentist | 1500 145th Pl Se, Bellevue, WA 98007-5516 | 2008-07-01 |
| 1568587897 | James Michael Thomas | Dentist | 1200 112th Ave Ne Ste C250, Bellevue, WA 98004-3741 | 2007-03-19 |
| 1427113141 | Todd B Krekow | Dentist | 11102 Ne 38th Pl, Bellevue, WA 98004-7653 | 2006-12-22 |
| 1871662544 | Jimmy S Yun | Dentist | 12600 Se 38th St Ste 110, Bellevue, WA 98006-5232 | 2006-11-07 |
| 1306926449 | Jenny Hee-jae Lee | Dentist | 2150 112 Ave Ne # A, Bellevue, WA 98004-2939 | 2006-10-16 |
| 1497866255 | Lawrence E Mast Dds Ps | Dentist | 2150 112 Ave Ne #a, Bellevue, WA 98004 | 2006-08-31 |
| 1003841347 | Alicia K Wong | Dentist | 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 | 2006-07-12 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.