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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MINKI KIM DDS
NPI 1659954816
Dentist - Periodontics in Tukwila, WA

Active since May 04, 2021PECOS Enrolled
411 STRANDER BLVD STE 302, TUKWILA, WA 98188(206) 575-1086 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Jul 27, 2023, May 21, 2023 and 2 more (5 updates tracked since 2021).

About Minki Kim Dds NPPES

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

MINKI KIM DDS (NPI 1659954816) is an individual periodontics provider in Tukwila, Washington, licensed in Washington (70124924) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659954816
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMINKI KIMCredential: DDS
Location Address411 STRANDER BLVD STE 302Tukwila, WA 98188-2924
Mailing Address12025 Slater Ave NeKirkland, WA 98034-5341 · (917) 456-6912
Phone(206) 575-1086
Sole ProprietorYes
Enumeration DateMay 4, 2021
Last NPPES UpdateAugust 11, 20265 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1659954816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in WA · 70124924
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
411 STRANDER BLVD STE 302, Tukwila, WA 98188
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13150 W Government WaySeattle, WA 98199-1459 · Phone (206) 402-3904
Location 24540 Sand Point Way NE Ste 340Seattle, WA 98105-3941 · Phone (206) 985-0232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minki Kim 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 98188 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 5

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

HYUN JUNG SONG DDS MSD
Dentist (Periodontics)
411 STRANDER BLVD STE 302
TUKWILA, WA 98188
King County (206) 575-1086
DARRIN RAPOPORT DDS, MSD, PS
Dentist (Periodontics)
411 STRANDER BLVD STE 302
TUKWILA, WA 98188
King County (206) 575-1086
SONG PERIODONTICS AND DENTAL IMPLANTS PLLC
Dentist (Periodontics)
411 STRANDER BLVD STE 302
TUKWILA, WA 98188
King County (206) 575-1086
SONG PERIODONTICS AND IMPLANTS
Oral Medicine
411 STRANDER BLVD STE 302
TUKWILA, WA 98188
King County (206) 250-0299
RALF SCHULER DDS, MSD, PHD
Dentist (Periodontics)
411 STRANDER BLVD STE 302
TUKWILA, WA 98188
King County (206) 575-1086

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 Minki Kim's NPI number?

The NPI number for Minki Kim is 1659954816. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Minki Kim located?

Minki Kim practices at 411 Strander Blvd Ste 302, Tukwila, WA 98188. The listed phone number is (206) 575-1086.

What is Minki Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Minki Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Minki Kim was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.