Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Dae Ho Kim , DDS

Dentist - General Practice • Everett, WA

Active NPI 1275869000 Individual Practitioner Male Practitioner
Practice location in NPPES

5929 Evergreen Way Ste 100
Everett, WA 982036031

Call 4253534469 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5929 Evergreen Way Ste 100

Everett, WA 982036031

Telephone 4253534469
Fax 4253485216
Organization at the Same NPPES Address or Phone
Dae Ho Kim Dds Pc Inc Facility NPI 1386053973

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Everett, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

38 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$103 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Everett and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Dentist - General Practice in Everett, WA (2024, 28 clinicians with data). Median for this group: 28. Middle half: 14 to 40.

Close to the middle for clinicians listed under Dentist - General Practice in Washington (2024, 1,213 clinicians with data). Median for this group: 31. Middle half: 17 to 57.

Part D drug cost

Close to the middle for clinicians listed under Dentist - General Practice in Everett, WA (2024, 28 clinicians with data). Median for this group: $107. Middle half: $47 to $192.

Close to the middle for clinicians listed under Dentist - General Practice in Washington (2024, 1,213 clinicians with data). Median for this group: $109. Middle half: $55 to $227.

80 active clinicians are listed under Dentist - General Practice with a practice address in Everett, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

0% of these 80 clinicians have the CMS telehealth indicator.

0% of these 80 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 21 121 $28.51 17
Chlorhexidine Gluconate Chlorhexidine Gluconate 17 224 $74.16 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WA DE60307878

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DE60307878

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2071188 (WA)
Medicaid ID
019027981 (IL)

Secondary Practice Locations

1920 100th St Se Ste C2

Everett, WA 982083832

Phone: 4252490770

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Richard Clark , DDS

Dentist - General Practice

NPI 1376621508

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Dentist (license number reported to NPPES: WA DE60307878)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2025

Dentist (license number reported to NPPES: WA DE60307878)

âś…
NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 27, 2014

Registered at 5929 EVERGREEN WAY STE 100, EVERETT, WA 982036031 (Tel: 4253534469)

📍
Business Mailing Address (Initial Record) October 27, 2014

Registered at 5929 EVERGREEN WAY STE 100, EVERETT, WA 982036031 (Tel: 4253534469)

👤
Provider Name / Credentials (Initial Record) October 27, 2014

Recorded as DAE HO KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Dentist (license number reported to NPPES: WA DE60307878)

🟢
Initial NPI Registration & Enumeration October 29, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1275869000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2009
Last Update: March 30, 2026
Sole Proprietor: No

Other Dentist - General Practices in Everett

All Dentist - General Practices in Everett

Mailing Address

5929 Evergreen Way Ste 100

Everett, WA 982036031

Phone: 4253534469

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.