1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Dentist
  6. NPI Profile

DR. DAE HO KIM DDS
NPI 1275869000
Dentist - General Practice in Everett, WA

Active since October 29, 2009
5929 EVERGREEN WAY STE 100, EVERETT, WA 98203(425) 353-4469(425) 348-5216 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2026, Mar 27, 2025 (2 updates tracked since 2025).

About Dr. Dae Ho Kim Dds NPPES

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

DR. DAE HO KIM DDS (NPI 1275869000) is an individual general practice provider in Everett, Washington, licensed in Washington (DE60307878) and active in the NPI registry since October 2009. He maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1275869000
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAE HO KIMCredential: DDS
Location Address5929 EVERGREEN WAY STE 100Everett, WA 98203-6031
Mailing Address5929 Evergreen Way Ste 100Everett, WA 98203-6031 · (425) 353-4469 · Fax (425) 348-5216
Phone(425) 353-4469
Fax(425) 348-5216
Sole ProprietorNo
Enumeration DateOctober 29, 2009
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1275869000 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 · DE60307878
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 DE60307878 (WA)
5929 EVERGREEN WAY STE 100, Everett, WA 98203
Open in Google Maps ↗

Secondary Practice Location 1

Location 11920 100th St SE Ste C2Everett, WA 98208-3832 · Phone (425) 249-0770 · Fax (425) 249-0771

Other Identifiers 2

Medicaid2071188WA
Medicaid019027981IL

Accepted Insurance

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

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 Dae Ho Kim's NPI number?

The NPI number for Dae Ho Kim is 1275869000. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Dae Ho Kim located?

Dae Ho Kim practices at 5929 Evergreen Way Ste 100, Everett, WA 98203. The listed phone number is (425) 353-4469.

What is Dae Ho Kim's specialty?

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

What insurance does Dae Ho Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Dae Ho 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 Dae Ho Kim was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.