NPPES file of Aug 9, 2026

Jinju Song, D.M.D.

Pediatric Dentistry · Kirkland, WA

Jinju Song, D.M.D. is a pediatric dentistry with a practice address in Kirkland, Washington, and NPI 1255644316, issued on Jul 19, 2010. Check the license (Washington DE60300517, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255644316
Name
Jinju Song
Credential
D.M.D.
Primary taxonomy
Pediatric Dentistry 1223P0221X
License number
DE60300517 WA
Self-reported in NPPES; status is on the state search
Practice location
12410 87TH CT NE, Kirkland, WA 98034
Phone
(253) 227-8879
Enumerated
Jul 19, 2010
Record last updated
Dec 18, 2014 (not updated in 12 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Verify Jinju Song in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Washington board licenses this profession
    Search for license DE60300517
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Washington license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Industry payments in 2024: $16.00

1 payment: food and beverage; the largest payer was GC America Inc. The 2,607 providers of this specialty with any payment received $434.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jinju Song$16.00
  2. Specialty average$434.77

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jinju Song among 283 pediatric dentistry records in Washington

Jinju Song, D.M.D. is one of 283 pediatric dentistry records with a practice address in Washington. 29% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 56% of them.

  • NPI issued2010 · 56% of these records are older, 41% newer
  • In a Medicare fileYes · 29% of these records are
  • In the CMS Doctors and Clinicians fileNo · 0% of these records are
  • Record last updated2014 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0221X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Dentistry providers in Washington

There are 283 pediatric dentistry records in Washington.

The 8 pediatric dentistry records with the nearest ZIP codes

  1. Neda Modaresi, DDS, MSKirkland, WA 980341437496239
  2. Aimee Kong, DDSKirkland, WA 980331982910410
  3. Clinton Worton, DDSKirkland, WA 980331871652032
  4. John Churchill, D.M.D.Lynnwood, WA 980361932219482
  5. Kate Goldberg, DDSLynnwood, WA 980361548656929
  6. Dongkook Lim, D.D.S.Lynnwood, WA 980361073045027
  7. Roger Lucas, DDSLynnwood, WA 980361427211432
  8. Raymond Park, DDSLynnwood, WA 980361548521248

Common questions

What is Jinju Song, D.M.D.'s NPI number?

Jinju Song, D.M.D.'s National Provider Identifier (NPI) is 1255644316, issued on Jul 19, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Jinju Song, D.M.D. located?

The NPPES record lists a practice address at 12410 87TH CT NE, Kirkland, WA, 98034. Phone: (253) 227-8879. Providers update this record themselves, so call before visiting.

How can I verify Jinju Song, D.M.D.'s license?

NPPES lists Washington license number DE60300517, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.