OrganizationActive
Susan Kim DDS
NPI 1265495196 · Pediatric Dentistry · Kirkland, WA
Susan Kim DDS is a Pediatric Dentistry organization in Kirkland, WA (NPI 1265495196).
Provider details
- NPI number
- 1265495196
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Susan Kim, President(425) 814-3196
- License
- 9731 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
12910 Totem Lake Blvd Ne Ste 103
Kirkland, WA 98034
Phone: (425) 814-3196
Fax: (425) 825-9646
Street-level locationGet directions
Mailing address
12910 Totem Lake Blvd Ne Ste 103
Kirkland, WA 98034-2901
Other names (DBA / former)
- Doing business as
- Evergreen Pediatric Dentistry
- Doing business as
- Evergreen Pediatric Dentistry
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2018-07-17
Frequently asked questions
- What is Susan Kim DDS's NPI number?
- Susan Kim DDS's National Provider Identifier (NPI) is 1265495196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susan Kim DDS?
- Susan Kim DDS is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Susan Kim DDS located?
- Susan Kim DDS's practice location on file with NPPES is 12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA 98034.
- What is Susan Kim DDS's phone number?
- The practice phone number listed in the NPPES registry for Susan Kim DDS is (425) 814-3196.
- Who is the authorized official for Susan Kim DDS?
- The authorized official listed on Susan Kim DDS's NPPES record is Susan Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susan Kim DDS's NPI active?
- Yes — Susan Kim DDS's NPI (1265495196) is active in the NPPES registry as of the last update on 2018-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.