EVERGREEN PEDIATRIC DENTISTRY
NPI 1265495196
Dentist - Pediatric Dentistry in Kirkland, WA
- Organization
- Dentist
- Pediatric Dentistry
About EVERGREEN PEDIATRIC DENTISTRY
This page provides the complete NPI Profile along with additional information for Evergreen Pediatric Dentistry, a provider established in Kirkland, Washington operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1265495196 assigned on April 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 9731 (WA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Evergreen Pediatric Dentistry. The authorized official of this NPI record is Dr. Susan S Kim Dds (President)
- NPI
- 1265495196 Verify this NPI
- Provider Legal Name
- SUSAN KIM DDS
- Other Organization Name
- EVERGREEN PEDIATRIC DENTISTRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12910 TOTEM LAKE BLVD NE STE 103 KIRKLAND, WA 98034
- Location Phone
- (425) 814-3196
- Location Fax
- (425) 825-9646
- Mailing Address
- 12910 TOTEM LAKE BLVD NE STE 103 KIRKLAND, WA 98034
- Mailing Phone
- (425) 814-3196
- Mailing Fax
- (425) 825-9646
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2006
- Last Update Date
- 07-17-2018
- Code Navigator
A dentist like Evergreen Pediatric Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 9731
- License State
- WA
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5048368 | MEDICAID (05) | WA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265495196, enumerated as an "organization" on April 11, 2006.
The provider is located at 12910 TOTEM LAKE BLVD NE STE 103 KIRKLAND, WA 98034 and the phone number is (425) 814-3196.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
