DR. SEONGRYEOL ALBERT KIM DDS
NPI 1154487445
Dentist in Silverdale, WA

Q: What is Seongryeol Kim's NPI number?

The NPI number for Seongryeol Kim is 1154487445. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Seongryeol Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Seongryeol Kim was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 29, 2006PECOS Enrolled

3505 NW ANDERSON HILL RD, SILVERDALE, WA 98383(360) 337-1780(309) 243-8188 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Seongryeol Albert Kim Dds NPPES

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

DR. SEONGRYEOL ALBERT KIM DDS (NPI 1154487445) is an individual dentist in Silverdale, Washington, licensed in Illinois (019028319) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154487445

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SEONGRYEOL ALBERT KIMCredential: DDS

Location Address3505 NW ANDERSON HILL RDSilverdale, WA 98383-9161

Mailing Address11825 N Knoxville AveDunlap, IL 61525 · (309) 243-1541 · Fax (309) 243-8188

Phone(360) 337-1780

Fax(309) 243-8188

Sole ProprietorYes

Enumeration DateDecember 29, 2006

Last NPPES UpdateJune 23, 2010

✔ NPI 1154487445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in IL · 019028319✔ Licensed in WA · DE00010423

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3505 NW ANDERSON HILL RD, Silverdale, WA 98383

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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. Seongryeol Albert Kim Dds 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 98383 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 6

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

MARY MEITZU HUANG DDS

Dentist

3505 NW ANDERSON HILL RD
SILVERDALE, WA 98383

Kitsap County (503) 644-2170

ERIC O RASMUSSEN MD

Dermatology

3505 NW ANDERSON HILL RD, #201
SILVERDALE, WA 98383

Kitsap County (360) 698-6859

XIN LIU DDS

Dentist

3505 NW ANDERSON HILL RD
SILVERDALE, WA 98383

Kitsap County (360) 337-1780

VICTORIA LYNN HEINZ ARNP

Nurse Practitioner

3505 NW ANDERSON HILL RD, #201
SILVERDALE, WA 98383

Kitsap County (360) 698-6859

ANDREW DAVIES

Dentist

3505 NW ANDERSON HILL RD
SILVERDALE, WA 98383

Kitsap County (855) 433-6825

DR. WOOD UTRAPIROMSUK D.D.S.

Dentist (General Practice)

3505 NW ANDERSON HILL RD
SILVERDALE, WA 98383

Kitsap County (855) 433-6825

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 Seongryeol Kim's NPI number?

The NPI number for Seongryeol Kim is 1154487445. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Seongryeol Kim located?

Seongryeol Kim practices at 3505 NW Anderson Hill Rd, Silverdale, WA 98383. The listed phone number is (360) 337-1780.

What is Seongryeol Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Seongryeol Kim enrolled in Medicare?

Yes. Seongryeol Kim is registered in the Medicare PECOS enrollment system.

What insurance does Seongryeol Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Seongryeol 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 Seongryeol Kim was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.