DR. JIMIN PARK-REEVES D.M.D.
NPI 1063792000
Dentist - General Practice in Kent, WA

Active since August 22, 2011PECOS Enrolled
655 W SMITH ST STE 206, KENT, WA 98032(253) 854-8306 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2018, Aug 1, 2018 (2 updates tracked since 2018).

About Dr. Jimin Park-reeves D.m.d. NPPES

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

DR. JIMIN PARK-REEVES D.M.D. (NPI 1063792000) is an individual general practice provider in Kent, Washington, licensed in Washington (DE60437962) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maple Valley.

NPPES Registry Identity

NPI1063792000
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JIMIN PARK-REEVESCredential: D.M.D.
Location Address655 W SMITH ST STE 206Kent, WA 98032
Mailing Address7608 113th Ave SeNewcastle, WA 98056-1664 · (512) 461-2182
Sole ProprietorNo
Enumeration DateAugust 22, 2011
Last NPPES UpdateAugust 30, 20182 updates tracked since enumeration
NPI 1063792000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in WA · DE60437962 Licensed in WA · 60437962
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
655 W SMITH ST STE 206, Kent, WA 98032

Secondary Practice Location 1

Location 124040 SE Kent Kangley RdMaple Valley, WA 98038-6930 · Phone (425) 578-9152

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jimin Park-reeves D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
655 W SMITH ST STE 206
KENT, WA 98032

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 Jimin Park-reeves's NPI number?

The NPI number for Jimin Park-reeves is 1063792000. It was assigned to this individual provider in the NPPES registry on August 22, 2011.

Where is Jimin Park-reeves located?

Jimin Park-reeves practices at 655 W Smith St Ste 206, Kent, WA 98032. The listed phone number is (253) 854-8306.

What is Jimin Park-reeves's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jimin Park-reeves enrolled in Medicare?

Yes. Jimin Park-reeves is registered in the Medicare PECOS enrollment system.

What insurance does Jimin Park-reeves accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and HRI Dental & Vision and 5 other insurers list Jimin Park-reeves 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 Jimin Park-reeves was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.