IndividualActive
Kathy Kim, DDS
NPI 1225245004 · Dentist · Beaverton, OR
Kathy Kim, DDS is a Dentist provider in Beaverton, OR (NPI 1225245004).
Provider details
- NPI number
- 1225245004
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- D6477 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4150 Sw 100th Ave
Beaverton, OR 97005
Phone: (503) 627-0619
Fax: (503) 671-9054
Street-level locationGet directions
Mailing address
4150 Sw 110th Ave
Beaverton, OR 97005-3016
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kathy Kim's NPI number?
- Kathy Kim's National Provider Identifier (NPI) is 1225245004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathy Kim's specialty?
- Kathy Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kathy Kim located?
- Kathy Kim's practice location on file with NPPES is 4150 Sw 100th Ave, Beaverton, OR 97005.
- What is Kathy Kim's phone number?
- The practice phone number listed in the NPPES registry for Kathy Kim is (503) 627-0619.
- Is Kathy Kim's NPI active?
- Yes — Kathy Kim's NPI (1225245004) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.