KIM & CHUNG, DDS, PLLC (NPI# 1366802662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366802662 |
| Entity Type | Organization |
| Organization Name | KIM & CHUNG, DDS, PLLC |
| Other Organization Name | EVERYONE BY ONE-LYNNWOOD |
| Practice Address |
16006 Ash Way Ste 103 Lynnwood WA 98087-6352 |
| Practice Telephone | 4259678240 |
| Practice Fax Number | 4259678284 |
| Mailing Telephone | 4259678240 |
| Mailing Fax Number | 4259678284 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | STEFANY M HENDERSON (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 4255332655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DE60100276 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2056884 | 05 |
| Other Name | Type Code |
|---|---|
| Everyone By One-Lynnwood | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KIM & CHUNG, DDS, PLLC | 16006 Ash Way #103, Lynnwood, WA 98087 |
| Street Address |
16006 ASH WAY STE 103 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087-6352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548484645 | Jennifer Ann Meader | Dentist | 16006 Ash Way, Suite 102, Lynnwood, WA 98087-6352 | 2007-04-12 |
| 1295396257 | Sylvianne Youngblood | Optometrist | 16006 Ash Way, Lynnwood, WA 98087-6352 | 2019-06-21 |
| 1629428479 | Kaitlin C Hash | Optometrist | 16006 Ash Way, Suite 101, Lynnwood, WA 98087-6352 | 2016-06-13 |
| 1235510512 | Nicholas Andrew Raklios | Dentist | 16006 Ash Way, Ste 103, Lynnwood, WA 98087-6352 | 2015-06-12 |
| 1821300112 | Carrie Murphy | Optometrist | 16006 Ash Way, Suite 101, Lynnwood, WA 98087-6352 | 2010-07-02 |
| 1114247442 | Newborn Transitional Care Nursery | Special Hospital | 16006 Ash Way, Suite 103, Lynnwood, WA 98087-6352 | 2010-06-09 |
| 1053633495 | Everyone By One - Lynnwood Pllc | Dentist | 16006 Ash Way, Suite 103, Lynnwood, WA 98087-6352 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831624402 | Minh Dau, Dds and Raymond Park, Dds Pllc | Dentist | 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 | 2017-04-20 |
| 1548656929 | Kate Suzanne Goldberg | Dentist | 18833 28th Ave W Ste B, Lynnwood, WA 98036 | 2015-04-12 |
| 1548521248 | Raymond B Park | Dentist | 3105 Alderwood Mall Blvd Ste 117, Lynnwood, WA 98036-4745 | 2012-05-30 |
| 1427211432 | Roger W Lucas | Dentist | 18833 28th Ave W., Suite B, Lynnwood, WA 98036 | 2008-07-09 |
| 1184796286 | Norman J Bunch | Dentist | 20102 Cedar Valley Rd Ste 105, Lynnwood, WA 98036-6333 | 2006-11-14 |
| 1932219482 | John A. Churchill | Dentist | 19106 33rd Ave W Ste 1, Lynnwood, WA 98036-4712 | 2006-08-30 |
| 1235510512 | Nicholas Andrew Raklios | Dentist | 16006 Ash Way, Ste 103, Lynnwood, WA 98087-6352 | 2015-06-12 |
| 1053633495 | Everyone By One - Lynnwood Pllc | Dentist | 16006 Ash Way, Suite 103, Lynnwood, WA 98087-6352 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807890 | Plateau Kids Dentistry, LLC | Dentist | 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 | 2020-07-05 |
| 1528603503 | Ellen Polsky Dds and Bobby Virk Dmd, Ps | Dentist | 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 | 2019-11-13 |
| 1942843552 | Laura Stewart Dds Pllc | Dentist | 6821 Ne 181st St, Kenmore, WA 98028-5034 | 2019-10-26 |
| 1639736119 | Southcenter Children's Dentistry | Dentist | 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 | 2019-05-21 |
| 1770147001 | Kaitlin Neste Pllc | Dentist | 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 | 2019-04-22 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1497248017 | Jinju Song Dmd Pllc | Dentist | 9707 Ne 119th Way, Kirkland, WA 98034-8955 | 2018-06-08 |
| 1861999864 | Peter Douglas | Dentist | 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 | 2018-04-07 |
| 1669994042 | Annikka Louise Frostad-thomas | Dentist | 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 | 2017-07-07 |
| 1306370572 | Sonu Lamba and Paul S Kahlon, Ps | Dentist | 13209 44th Ave Se, Mill Creek, WA 98012-8985 | 2017-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.