Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114871738 Individual Practitioner

Ji Eun Kim

Dentist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Ji Eun Kim is a registered healthcare professional specializing in Dentist in Seattle, WA. Practice services are available at 1959 NE PACIFIC ST # B-338 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St # B-338

Seattle, WA 981957446

Telephone 2065435787

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
436 Specialists

Practicing in Seattle, WA (2853 Statewide)

Telehealth Adoption Rate
0.9% 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: 2026-02-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 112085

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Sherry Wan , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1194447961

Doctor of Dental Medicine

NPI 1376858316

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 21, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2026

Registered at 1959 NE PACIFIC ST # B-338, SEATTLE, WA 981957446 (Tel: 2065435787)

📍
Updated Business Mailing Address February 21, 2026

Registered at 3974 PENNSYLVANIA AVE UNIT 102, LA CRESCENTA, CA 912143794 (Tel: 8189342915)

👤
Provider Name / Credentials Updated February 21, 2026

Recorded as JI EUN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2026

Dentist (License #112085 in CA)

🟢
Initial NPI Registration & Enumeration February 21, 2026

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: 1114871738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2026
Last Update: February 21, 2026
Sole Proprietor: No

Mailing Address

3974 Pennsylvania Ave Unit 102

La Crescenta, CA 912143794

Phone: 8189342915

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.