DR. SHINSIM C KIM DDS
NPI 1114003712
Dentist - General Practice in Federal Way, WA

Q: What is Shinsim Kim's NPI number?

The NPI number for Shinsim Kim is 1114003712. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Shinsim Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shinsim Kim was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 27, 2006

31405 18TH AVE S, FEDERAL WAY, WA 98003(253) 681-6620(253) 681-6648 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Aug 14, 2025, Mar 27, 2025 (3 updates tracked since 2025).

On this page

About Dr. Shinsim C Kim Dds NPPES

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

DR. SHINSIM C KIM DDS (NPI 1114003712) is an individual general practice provider in Federal Way, Washington, licensed in Washington (DE00007072) and active in the NPI registry since October 2006. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1114003712

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SHINSIM C KIMCredential: DDS

Location Address31405 18TH AVE SFederal Way, WA 98003-5433

Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0112 · Fax (206) 764-0489

Phone(253) 681-6620

Fax(253) 681-6648

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1114003712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE00007072

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.

Also ListedDentistTaxonomy 122300000X · License DE00007072 (WA)

31405 18TH AVE S, Federal Way, WA 98003

Open in Google Maps ↗

Secondary Practice Location 1

Location 11112 S Cushman AveTacoma, WA 98405-3631 · Phone (253) 593-2144 · Fax (253) 272-4125

Other Identifiers 4

Other0174705WA · State Labor & Industries

Medicaid1002647WA

OtherKI0379WA · Regence Blue Shield

Medicaid5016225WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Leave this field empty

Other Providers at the Same Location NPPES 20

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

SEA MAR COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))