DR. KYUAN KIM D.D.S.
NPI 1639553795
Dentist - General Practice in Mill Creek, WA

Q: What is Kyuan Kim's NPI number?

The NPI number for Kyuan Kim is 1639553795. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Q: What is Kyuan 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 Kyuan Kim was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 17, 2015PECOS Enrolled

15224 MAIN ST STE 300, MILL CREEK, WA 98012(425) 379-8020 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kyuan Kim D.d.s. NPPES

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

DR. KYUAN KIM D.D.S. (NPI 1639553795) is an individual general practice provider in Mill Creek, Washington, licensed in Washington (60698462) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639553795

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KYUAN KIMCredential: D.D.S.

Location Address15224 MAIN ST STE 300Mill Creek, WA 98012-7332

Mailing Address317 112th Ave Ne, Apt 801Bellevue, WA 98004-5824 · (217) 979-3943

Phone(425) 379-8020

Sole ProprietorNo

Enumeration DateJuly 17, 2015

Last NPPES UpdateNovember 18, 2016

✔ NPI 1639553795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in WA · 60698462✔ Licensed in IN · 12012380A

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.

15224 MAIN ST STE 300, Mill Creek, WA 98012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Kyuan Kim D.d.s. 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 98012 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

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

MS. ALISON MARIE WIEN ARNP

Nurse Practitioner

15224 MAIN ST STE 300
MILL CREEK, WA 98012

Snohomish County (425) 299-9379

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 Kyuan Kim's NPI number?

The NPI number for Kyuan Kim is 1639553795. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Kyuan Kim located?

Kyuan Kim practices at 15224 Main St Ste 300, Mill Creek, WA 98012. The listed phone number is (425) 379-8020.

What is Kyuan Kim's specialty?

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

Is Kyuan Kim enrolled in Medicare?

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

What insurance does Kyuan Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 7 other insurers list Kyuan 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 Kyuan Kim was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.