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Active NPI 1487200580 Individual Practitioner Female Practitioner

Dr. Min A Kim , DMD

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Min A Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 10535 NE GLISAN ST # 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10535 Ne Glisan St # 301

Portland, OR 972204077

Telephone 5034442824
Associated Practice Facility / Clinic
🏢 Gary W. Allen, Dmd, P.c. Facility NPI 1396792131

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11125

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Lyubov Bazyuk

Dental Hygienist

NPI 1104311414
Dr. Zanyar Darvishi , DMD

Dentist - General Practice

NPI 1194344648

Doctor of Dental Medicine

NPI 1306884747

Doctor of Dental Surgery

NPI 1336626993

Registered Dental Hygienist, BSDH

Dr. Kevin Ford , DMD

Dentist - General Practice

NPI 1467704858

Doctor of Dental Medicine

Dr. Katie Harper , DMD

Dentist - Pediatric Dentistry

NPI 1548551989

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2019

Registered at 10535 NE GLISAN ST # 301, PORTLAND, OR 972204077 (Tel: 5034442824)

📍
Updated Business Mailing Address August 14, 2019

Registered at 14201 NE 20TH AVE STE B200, VANCOUVER, WA 986866412 (Tel: 3605718181)

👤
Provider Name / Credentials Updated August 14, 2019

Recorded as MIN A KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Dentist (License #D11125 in OR)

🟢
Initial NPI Registration & Enumeration August 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487200580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2019
Last Update: August 14, 2019
Sole Proprietor: No

Mailing Address

14201 Ne 20th Ave Ste B200

Vancouver, WA 986866412

Phone: 3605718181

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.