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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAE SEON KIM DDS
NPI 1053672022
Dentist - Prosthodontics in Seattle, WA

Active since June 06, 2012
2046 WESTLAKE AVE N STE 204, SEATTLE, WA 98109(206) 284-4505(206) 284-4757 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jae Seon Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE SEON KIM DDS (NPI 1053672022) is an individual prosthodontics provider in Seattle, Washington, licensed in Washington (DE60223220) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1053672022
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameJAE SEON KIMCredential: DDS
Location Address2046 WESTLAKE AVE N STE 204Seattle, WA 98109-2753
Mailing Address2046 Westlake Ave N Ste 204Seattle, WA 98109-2753 · (206) 284-4505 · Fax (206) 284-4757
Phone(206) 284-4505
Fax(206) 284-4757
Sole ProprietorYes
Enumeration DateJune 6, 2012
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1053672022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in WA · DE60223220
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
2046 WESTLAKE AVE N STE 204, Seattle, WA 98109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAE SEON KIM DDS MSD PLLC
Clinic/Center (Dental)
2046 WESTLAKE AVE N STE 204
SEATTLE, WA 98109
King County (206) 284-4505
MARTIN J. CAMPBELL D.M.D.
Dentist (Periodontics)
2046 WESTLAKE AVE N STE 204
SEATTLE, WA 98109
King County (206) 284-4505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Seon Kim's NPI number?

The NPI number for Jae Seon Kim is 1053672022. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Jae Seon Kim located?

Jae Seon Kim practices at 2046 Westlake Ave N Ste 204, Seattle, WA 98109. The listed phone number is (206) 284-4505.

What is Jae Seon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Jae Seon Kim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jae Seon Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Seon Kim was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.