NINA LEE KIM D.M.D.
NPI 1891043352
Dentist in Federal Way, WA

Q: What is Nina Kim's NPI number?

The NPI number for Nina Kim is 1891043352. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Q: What is Nina Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nina Kim was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 15, 2012PECOS Enrolled

33431 13TH PL S, FEDERAL WAY, WA 98003(253) 874-7646 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, Dec 18, 2020, Mar 27, 2020 and 1 more (4 updates tracked since 2016).

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About Nina Lee Kim D.m.d. NPPES

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

NINA LEE KIM D.M.D. (NPI 1891043352) is an individual dentist in Federal Way, Washington, licensed in Washington (DE60583042) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Derby.

NPPES Registry Identity

NPI1891043352

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameNINA LEE KIMCredential: D.M.D.

Location Address33431 13TH PL SFederal Way, WA 98003-6357

Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311

Phone(253) 874-7646

Sole ProprietorNo

Enumeration DateAugust 15, 2012

Last NPPES UpdateJanuary 8, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1891043352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60583042

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.

33431 13TH PL S, Federal Way, WA 98003

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Secondary Practice Location 1

Location 1115 New Haven AveDerby, CT 06418 · Phone (203) 732-4747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana 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)

Nina Lee Kim D.m.d. 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 98003 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 20

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

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