DR. EDWIN GI LIM KIM DMD
NPI 1891235388
Dentist in Everett, WA

Active since March 02, 2017PECOS Enrolled
1424 BROADWAY, EVERETT, WA 98201(425) 789-2000 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2021, Mar 2, 2017 (2 updates tracked since 2017).

About Dr. Edwin Gi Lim Kim Dmd NPPES

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

DR. EDWIN GI LIM KIM DMD (NPI 1891235388) is an individual dentist in Everett, Washington, licensed in Washington (DE60685627) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891235388
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EDWIN GI LIM KIMCredential: DMD
Location Address1424 BROADWAYEverett, WA 98201-1720
Mailing Address1621 Seattle Hill Rd Apt T5Bothell, WA 98012-4107 · (206) 407-7377
Sole ProprietorNo
Enumeration DateMarch 2, 2017
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1891235388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WA · DE60685627
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.

1424 BROADWAY, Everett, WA 98201

Accepted 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. Edwin Gi Lim Kim Dmd 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 98201 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 20

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

Clinic/Center (Community Health)
1424 BROADWAY
EVERETT, WA 98201
Pharmacy (Clinic Pharmacy)
1424 BROADWAY
EVERETT, WA 98201
Pediatrics
1424 BROADWAY
EVERETT, WA 98201
Pharmacist
1424 BROADWAY
EVERETT, WA 98201
Family Medicine
1424 BROADWAY
EVERETT, WA 98201
Clinic/Center (Federally Qualified Health Center (FQHC))
1424 BROADWAY
EVERETT, WA 98201
Nurse Practitioner (Psychiatric/Mental Health)
1424 BROADWAY
EVERETT, WA 98201
Counselor (Addiction (Substance Use Disorder))
1424 BROADWAY
EVERETT, WA 98201

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 Edwin Kim's NPI number?

The NPI number for Edwin Kim is 1891235388. It was assigned to this individual provider in the NPPES registry on March 2, 2017.

Where is Edwin Kim located?

Edwin Kim practices at 1424 Broadway, Everett, WA 98201. The listed phone number is (425) 789-2000.

What is Edwin Kim's specialty?

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

Is Edwin Kim enrolled in Medicare?

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

What insurance does Edwin Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 1 other insurer list Edwin 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 Edwin Kim was last updated on November 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.