DR. EDWIN GI LIM KIM DMD
NPI 1891235388
Dentist in Everett, WA

NPI Status: Active since March 02, 2017

Contact Information

1424 BROADWAY
EVERETT, WA
ZIP 98201
Phone: (425) 789-2000

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  • Individual
  • Male
  • Dentist
  • Accepts Insurance
  • PECOS Enrolled

About EDWIN KIM

This page provides the complete NPI Profile along with additional information for Edwin Kim, a provider established in Everett, Washington with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1891235388 assigned on March 2017. The practitioner's primary taxonomy code is 122300000X with license number DE60685627 (WA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1891235388
Provider Name
DR. EDWIN GI LIM KIM DMD
Gender
Male
Entity Type
Individual
Location Address
1424 BROADWAY EVERETT, WA 98201
Location Phone
(425) 789-2000
Mailing Address
1621 SEATTLE HILL RD APT T5 BOTHELL, WA 98012
Mailing Phone
(206) 407-7377
Is Sole Proprietor?
No
Enumeration Date
03-02-2017
Last Update Date
11-17-2021
Code Navigator

A dentist like Edwin Kim is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DE60685627
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueDental Copayment Q - PPO
  • BlueDental Copayment QF - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Humana Dental Smart Choice Basic - PPO
  • Humana Dental Smart Choice- Lite - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Edwin Kim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.29
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $22.07
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.29
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. EDWIN GI LIM KIM DMD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891235388
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281814310316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 4 + 3 + 1 + 0 + 3 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1891235388 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699102129COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Organization
Clinic/Center (Community Health)1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1346678737 JOEL PURYEAR PA-C
Individual
Physician Assistant (Medical)1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1124150859COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Organization
Pharmacy (Clinic Pharmacy)1424 BROADWAY
EVERETT, WA 98201
(425) 789-2050
1134293251DR. RUTH ANN PARISH M.D.
Individual
Pediatrics1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1902284490 QUAN NGUYEN PHARMD
Individual
Pharmacist1424 BROADWAY
EVERETT, WA 98201
(425) 789-2050
1912340381DR. NANCY LOUISE FOOTE MD
Individual
Family Medicine1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1346623188DR. AIMI MIZUTANI D.D.S.
Individual
Dentist (General Practice)1424 BROADWAY
EVERETT, WA 98201
(425) 551-1000
1932231669COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1497107122MR. ANDREW KOKESH MSN, ARNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1424 BROADWAY
EVERETT, WA 98201
(425) 789-3740
1053461988MISS MERIEL GERETTE MUFFLY CDP
Individual
Counselor (Addiction (Substance Use Disorder))1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1457870701 MARIA ESQUIVEL
Individual
Dental Hygienist1424 BROADWAY
EVERETT, WA 98201
(425) 551-1000
1053639070DR. AMY WANG JOHNSON M.D.
Individual
Pediatrics1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1942556147 REBECCA J VESELY RDH
Individual
Dental Hygienist1424 BROADWAY
EVERETT, WA 98201
(425) 551-1000
1376972711DR. SIMI KOHLI M.D., M.SC
Individual
Family Medicine1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1558855791 BRENDAN ROARKE MCDONALD DNP, ARNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1457758054 HANNA M FILITOVICH PA-C
Individual
Physician Assistant1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1649858762 SAMANTHA K WILFORD RDN
Individual
Dietitian, Registered1424 BROADWAY
EVERETT, WA 98201
(425) 918-0505
1700272663 ZACHARIAH HENNAGER D.D.S
Individual
Dentist (General Practice)1424 BROADWAY
EVERETT, WA 98201
(425) 551-1000
1942554175MS. HEIDI M HARPER PA C
Individual
Physician Assistant1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000
1245801174DR. PHILIP A WALCZAK DDS
Individual
Dentist (General Practice)1424 BROADWAY
EVERETT, WA 98201
(425) 789-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891235388, enumerated in the NPI registry as an "individual" on March 02, 2017

The provider is located at 1424 Broadway Everett, Wa 98201 and the phone number is (425) 789-2000

The provider's speciality is Dentist with taxonomy code 122300000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.