KRIS KIM DDS PLLC (NPI# 1962726281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962726281 |
| Entity Type | Organization |
| Organization Name | KRIS KIM DDS PLLC |
| Other Organization Name | EDMONDS ORTHODONTICS |
| Practice Address |
21920 76th Ave W Suite 201 Edmonds WA 98026-7980 |
| Practice Telephone | 4259772505 |
| Practice Fax Number | 4259772506 |
| Mailing Telephone | 4259772505 |
| Mailing Fax Number | 4259772506 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | DR. KRIS HYEMIN KIM (OWNER/DR.) |
| Authorized Official Telephone | 4259772505 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | DE60058462 | WA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Edmonds Orthodontics | Doing Business As Name - Organization |
| Street Address |
21920 76TH AVE W SUITE 201 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891973723 | Rebecca Bonser | Audiologist-Hearing Aid Fitter | 21920 76th Ave W, Ste 103, Edmonds, WA 98026-7980 | 2008-02-01 |
| 1265740708 | Luna Healthcare LLC | Hearing Instrument Specialist | 21920 76th Ave W, Suite 103, Edmonds, WA 98026-7980 | 2010-09-17 |
| 1326359324 | Northwest Naturopathic and Pain Clinic | Naturopath | 21920 76th Ave W, Suite 203, Edmonds, WA 98026-7980 | 2010-06-24 |
| 1407099419 | Edmonds Wellness Massage and Acupuncture | Specialist | 21920 76th Ave W, Suite 130, Edmonds, WA 98026-7980 | 2009-04-07 |
| 1104067933 | Lavica Jane Barnes | Naturopath | 21920 76th Ave W, Suite 203, Edmonds, WA 98026-7980 | 2009-03-06 |
| 1033388772 | The Health and Wellness Clinic Pllc | Clinic/Center | 21920 76th Ave W, Suite 130, Edmonds, WA 98026-7980 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529407 | Mitchell International, Inc. | Preferred Provider Organization | 1301 5th Ave Ste 2900, Seattle, WA 98101-2644 | 2018-05-23 |
| 1629517388 | Shera Looney | Preferred Provider Organization | 500 5th Ave W, 502, Seattle, WA 98119-3957 | 2017-02-14 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1306390109 | Sabrina Mandich, Dds, LLC | Preferred Provider Organization | 207 Sw 156th St Ste 1, Burien, WA 98166-2561 | 2016-08-09 |
| 1083168272 | Marnie L. Collins Dds | Preferred Provider Organization | 507 N Sullivan Rd Ste 2, Spokane Valley, WA 99037-8576 | 2016-08-05 |
| 1720431414 | David J Olson Dds Pllc | Preferred Provider Organization | 509 Olive Way Ste 1238, Seattle, WA 98101-1745 | 2016-07-18 |
| 1932558780 | Cheng Im Shao Chue Gomez Pllc | Preferred Provider Organization | 22035 Se Wax Rd, Ste 5, Maple Valley, WA 98038-8543 | 2016-06-11 |
| 1659741858 | Canyon Crossing Chiropractic Ps | Preferred Provider Organization | 5610 176th St E, D105, Puyallup, WA 98375-9305 | 2015-09-30 |
| 1336519982 | Dr. James Hood | Preferred Provider Organization | 2510 N Pines Rd Ste 206, Spokane Valley, WA 99206-7636 | 2015-09-25 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| Find all providers with the same taxonomy | ||||
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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.