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JOHN SHIM DDS
NPI 1639802713
Dentist in Tacoma, WA

Active since July 06, 2022PECOS Enrolled
3866 S 74TH ST STE 200, TACOMA, WA 98409(855) 433-6825 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2022, Aug 29, 2022, Jul 6, 2022 (3 updates tracked since 2022).

About John Shim Dds NPPES

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

JOHN SHIM DDS (NPI 1639802713) is an individual dentist in Tacoma, Washington, licensed in Washington (DE61310816) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639802713
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN SHIMCredential: DDS
Location Address3866 S 74TH ST STE 200Tacoma, WA 98409-9908
Mailing Address3866 S 74th St Ste 200Tacoma, WA 98409-9908 · (554) 336-8258
Phone(855) 433-6825
Sole ProprietorNo
Enumeration DateJuly 6, 2022
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1639802713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DE61310816
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.
3866 S 74TH ST STE 200, Tacoma, WA 98409
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Shim 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 98409 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 13

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

DR. MYRIAM HAMIEH DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
MICHAEL ALEXANDER CLEMENS DDS
Dentist (General Practice)
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
CLARA PARK DMD
Dentist
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
DR. MADISYN KAMELE HARDING DDS
Dentist
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
SOPHIE CHRISTINE PRELLWITZ DMD
Dentist (General Practice)
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
ROBERT DENSLOW DMD
Dentist
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
NICOLE MARCELLA TERS SHEARER
Dentist (General Practice)
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce County (855) 433-6825
DR. SARAH ANN CHOI DMD
Dentist
3866 S 74TH ST STE 200
TACOMA, WA 98409
Pierce 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 John Shim's NPI number?

The NPI number for John Shim is 1639802713. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is John Shim located?

John Shim practices at 3866 S 74th St Ste 200, Tacoma, WA 98409. The listed phone number is (855) 433-6825.

What is John Shim's specialty?

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

Is John Shim enrolled in Medicare?

Yes. John Shim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Shim was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.