DR. STEPHEN JOSEPH KIM (NPI# 1265765473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265765473 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JOSEPH KIM |
| Credential | D.D.S. |
| Practice Address |
1200 112th Ave Ne Ste B275 Bellevue WA 98004-3738 |
| Mailing Address |
1200 112th Ave Ne Ste 275 Bellevue WA 98004-3732 |
| Practice Telephone | 4252891918 |
| Mailing Telephone | 4252891918 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE 60100276 | WA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE 60100276 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15151 Ne 81st Way, Unit 105, Redmond, WA 980524217 | 2062659529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912444779 | Stephen Kim | Specialist/Technologist | 175 Sam Sibley Dr., Natchitoches, LA 71457 | 2017-01-31 |
| 1043434483 | Stephen Hojong Kim | Dentist | 4061 Kirkpatrick Ln, Suite 100, Flower Mound, TX 75028 | 2007-04-13 |
| 1760539068 | Stephen Sae Chang Kim | Family Medicine | 177 Mouse Creek Rd Nw, Cleveland, TN 37312-3838 | 2007-01-05 |
| 1659449791 | Stephen Kim | Dentist | 7841 Commonwealth Ave, Buena Park, CA 90621-2422 | 2006-11-30 |
| 1376563403 | Stephen Alan Kim | Family Medicine | 3140 Legacy Dr Ste 720, Frisco, TX 75034-7917 | 2006-07-20 |
| 1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
| 1558909408 | Stephen Kim | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
| 1285175109 | Stephen Kim | Orthotist | 2434 W Peterson Ave, Chicago, IL 60659-4113 | 2017-03-10 |
| 1851750400 | Stephen Kim | Dentist | 5545 E Broadway Blvd Ste 107, Tucson, AZ 85711 | 2016-02-10 |
| 1225387848 | Stephen S Kim | Pharmacist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2012-08-29 |
| Street Address |
1200 112TH AVE NE STE B275 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063754661 | James M Thomas Dds Ms Pllc | Dentist | 1200 112th Ave Ne Ste B275, Bellevue, WA 98004-3738 | 2013-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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.