Chan B Kim DDS PLLC
NPI 1205784592ActiveOrganization· Dentist, General Practice· Federal Way, WA
Dentist, General Practice in Federal Way, Washington, registered in NPPES in March 2026. The authorized official on file is Chan Kim, DDS, Owner.
Overview
| NPI | 1205784592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2026 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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