Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013568294 Individual Practitioner Male Practitioner

Dr. Jonathan Juyun Kim , DDS

Dentist - General Practice • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Beaverton, OR. Practice services are available at 4925 SW GRIFFITH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4925 Sw Griffith Dr

Beaverton, OR 970052923

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willettedental Facility NPI 1710317482

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
91 Specialists

Practicing in Beaverton, 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

CMS Verified: 2020-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11080

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

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Dr. Megan Wilde , DDS

Dentist - General Practice

NPI 1023852845

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 06, 2020

Registered at 4925 SW GRIFFITH DR, BEAVERTON, OR 970052923 (Tel: 8554336825)

📍
Updated Business Mailing Address July 06, 2020

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 8554336285)

NPI Profile Active September 27, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2019

Registered at 15966 NW LINDER ST, PORTLAND, OR 972291400 (Tel: 9713405687)

📍
Updated Business Mailing Address September 27, 2019

Registered at 15966 NW LINDER ST, PORTLAND, OR 972291400

👤
Provider Name / Credentials Updated September 27, 2019

Recorded as JONATHAN KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Dentist (License #D11080 in OR)

🟢
Initial NPI Registration & Enumeration September 27, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jonathan Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Jonathan Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013568294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2019
Last Update: July 06, 2020
Sole Proprietor: No

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 8554336285

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.