SHINSIM C KIM DDS NPI 1114003712

NPI Information

  • NPI: 1114003712
  • Provider Name: SHINSIM C KIM, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 31405 18TH AVE S
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (253) 681-6620

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NPI Details

Shinsim C Kim, DDS is a general practice dentist in Federal Way, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Shinsim C Kim, DDS NPI is 1114003712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31405 18TH AVE S
FEDERAL WAY, WA
ZIP 98003-433
Phone: (253) 681-6620
Fax: (253) 681-6648

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDE00007072WASHINGTONNo
21223G0001XDentistGeneral PracticeDE00007072WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10174705OTHERWASHINGTONSTATE LABOR & INDUSTRIES
2KI0379OTHERWASHINGTONREGENCE BLUE SHIELD
35016225MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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