MINSEOK KIM DD,LD
NPI 1609208214
Denturist in Federal Way, WA

Q: What is Minseok Kim's NPI number?

The NPI number for Minseok Kim is 1609208214. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Minseok Kim's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

Q: When was this NPI record last updated?

The NPPES record for Minseok Kim was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 06, 2013

30810 PACIFIC HWY S STE B, FEDERAL WAY, WA 98003(253) 886-0855 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2021, Jun 24, 2017 (2 updates tracked since 2017).

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About Minseok Kim Dd,ld NPPES

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

MINSEOK KIM DD,LD (NPI 1609208214) is an individual denturist in Federal Way, Washington, licensed in Washington (DN 60300984) and active in the NPI registry since August 2013. He maintains a secondary practice location in Bonney Lake.

NPPES Registry Identity

NPI1609208214

Entity TypeIndividualMale

Primary Taxonomy122400000X

Provider Legal NameMINSEOK KIMCredential: DD,LD

Location Address30810 PACIFIC HWY S STE BFederal Way, WA 98003-4982

Mailing Address30818 Pacific Hwy SFederal Way, WA 98003-4902 · (253) 839-1505 · Fax (253) 941-3896

Phone(253) 886-0855

Sole ProprietorYes

Enumeration DateAugust 6, 2013

Last NPPES UpdateMay 21, 20212 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1609208214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers

Taxonomy Code122400000X

License✔ Licensed in WA · DN 60300984

Definition

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

30810 PACIFIC HWY S STE B, Federal Way, WA 98003

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Secondary Practice Location 1

Location 118802 Mountain View Dr E Ste ABonney Lake, WA 98391-7110 · Phone (253) 750-4164 · Fax (253) 941-3896

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 Minseok Kim's NPI number?

The NPI number for Minseok Kim is 1609208214. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Minseok Kim located?

Minseok Kim practices at 30810 Pacific Hwy S Ste B, Federal Way, WA 98003. The listed phone number is (253) 886-0855.

What is Minseok Kim's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Minseok Kim was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.