Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972804037 Individual Practitioner Male Practitioner

Dr. Chan Bae Kim , DDS

Dentist • Federal Way, WA

Professional Overview & Biography Verified Profile Summary

Dr. Chan Kim, DDS is a registered healthcare professional specializing in Dentist in Federal Way, WA. Practice services are available at 30640 PACIFIC HWY S STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30640 Pacific Hwy S Ste A

Federal Way, WA 980034889

Telephone 2539463895
Associated Practice Facility / Clinic
🏢 Chan B Kim Dds Pllc Facility NPI 1205784592

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
55 Specialists

Practicing in Federal Way, WA (2853 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: 2024-01-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA 60483705

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OK 6250

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 59574

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

3 Associated Practitioners
Dr. My Anh Doan , DMD

Dentist - General Practice

NPI 1366730038

Doctor of Dental Medicine

Dr. Hung Nguyen , DMD

Dentist - General Practice

NPI 1497889869

Doctor of Dental Medicine

NPI 1649552571

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 18, 2024

Registered at 30640 PACIFIC HWY S STE A, FEDERAL WAY, WA 980034889 (Tel: 2539463895)

📍
Updated Business Mailing Address January 18, 2024

Registered at 30640 PACIFIC HWY S STE A, FEDERAL WAY, WA 980034889 (Tel: 2539463895)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Dentist (License #60483705 in WA)

NPI Profile Active May 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2011

Registered at 5815 MELTON DR, OKLAHOMA CITY, OK 731324934 (Tel: 4057217442)

📍
Updated Business Mailing Address May 13, 2011

Registered at 5815 MELTON DR, OKLAHOMA CITY, OK 731324934 (Tel: 4057217442)

👤
Provider Name / Credentials Updated May 13, 2011

Recorded as CHAN KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2011

Dentist (License #6250 in OK)

🟢
Initial NPI Registration & Enumeration November 05, 2010

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: 1972804037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2010
Last Update: January 18, 2024
Sole Proprietor: No

Mailing Address

30640 Pacific Hwy S Ste A

Federal Way, WA 980034889

Phone: 2539463895

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.