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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 Seattle, WA

Active since May 04, 2021PECOS Enrolled
4540 SAND POINT WAY NE STE 340, SEATTLE, WA 98105(206) 985-0232 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, May 21, 2023, Mar 8, 2022 and 1 more (4 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 Seattle, Washington, licensed in Washington (70124924) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1659954816
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMINKI KIMCredential: DDS
Location Address4540 SAND POINT WAY NE STE 340Seattle, WA 98105-3941
Mailing Address12025 Slater Ave NeKirkland, WA 98034-5341 · (917) 456-6912
Phone(206) 985-0232
Sole ProprietorYes
Enumeration DateMay 4, 2021
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 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.
4540 SAND POINT WAY NE STE 340, Seattle, WA 98105
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Secondary Practice Location 1

Location 13150 W Government WaySeattle, WA 98199-1459 · Phone (206) 402-3904

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 98105 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 2

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

BREANNA NICOLE CRUZ LAURENTE DMD
Dentist
4540 SAND POINT WAY NE STE 340
SEATTLE, WA 98105
King County (206) 985-0232
LINA KIM DDS, PS
Dentist (General Practice)
4540 SAND POINT WAY NE STE 340
SEATTLE, WA 98105
King County (206) 985-0232

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 4540 Sand Point Way NE Ste 340, Seattle, WA 98105. The listed phone number is (206) 985-0232.

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 July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 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.