DR. JENNIFER PARK KIM (NPI# 1013402692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013402692 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER PARK KIM |
| Credential | DDS |
| Practice Address |
1671 Ih 35 E Ste 300 New Braunfels TX 78130-6823 |
| Mailing Address |
9127 Hogarten Park Converse TX 78109-2804 |
| Practice Telephone | 8307305600 |
| Mailing Telephone | 5712473137 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34083 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837672 | Jennifer Kim | Physician Assistant | 18 Candy Ln, Syosset, NY 11791-4908 | 2019-02-14 |
| 1245756527 | Jennifer Kim | Behavior Technician | 7085 Tierra Roja St, El Paso, TX 79912-8492 | 2017-08-17 |
| 1205364650 | Jennifer Kim | Marriage & Family Therapist | 294 Harrington Ave Ste 6, Closter, NJ 07624-1912 | 2017-05-30 |
| 1790217115 | Jennifer Eunji Kim | Dentist | 1170 Lockhaven Way, San Jose, CA 95129-4031 | 2017-04-03 |
| 1588111645 | Jennifer Kim | Counselor | 323 N Serrano Ave Apt A, Los Angeles, CA 90004-2789 | 2016-09-07 |
| 1447614755 | Jennifer Hyun Kim | Pharmacist | 14433 Culver Dr, Irvine, CA 92604-0305 | 2016-04-12 |
| 1487035523 | Jennifer Kim | Student in an Organized Health Care Education/Training Program | 19925 22nd Ave, Whitestone, NY 11357-4121 | 2015-06-15 |
| 1255734778 | Jennifer Kim | Family Medicine | 4 E Clark Bass Blvd Ste 300, Mcalester, OK 74501-4269 | 2014-09-29 |
| 1174954879 | Jennifer Kim | Social Worker | 200 I St Se, Washington, DC 20003-3317 | 2013-12-05 |
| 1063853984 | Jennifer Kim | Pharmacist | 4048 Jenita Dr, Palm Harbor, FL 34685-1197 | 2013-07-08 |
| Street Address |
1671 IH 35 E STE 300 |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130-6823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372011 | Nwsw LLC | Dentist | 3029 Independence Dr, New Braunfels, TX 78132-4473 | 2020-10-08 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| 1730672833 | Patrick John Kelly | Dentist | 244 Fm 306 Ste 118, New Braunfels, TX 78130-5487 | 2018-06-13 |
| 1144743832 | Ryan Louis Evans | Dentist | 2830 Town Center Dr Ste 120, New Braunfels, TX 78130-2135 | 2017-07-25 |
| 1215457296 | Travis Miller | Dentist | 245 Hunters Vlg, New Braunfels, TX 78132-4742 | 2017-06-21 |
| 1215389051 | Jaime Rafael Gomez II | Dentist | 1778 S Walnut Ave, New Braunfels, TX 78130-1127 | 2016-07-05 |
| 1386089589 | New Braunfels Dentists, Pllc | Dentist | 1583 E. Common St., Suite 102, New Braunfels, TX 78130 | 2013-05-02 |
| 1962750943 | Suzan Elene Furney | Dentist | 1592 Common St, New Braunfels, TX 78130-3113 | 2012-08-22 |
| 1326340761 | Westpointe Modern Dentistry, PC | Dentist | 1659 State Highway 46 West Suite 180, New Braunfels, TX 78132 | 2010-11-17 |
| 1407163900 | Fortuna A. Vardeman, Dds, PC | Dentist | 651 S Walnut Ave Ste B, New Braunfels, TX 78130-5764 | 2010-09-03 |
| Find all providers in NEW BRAUNFELS | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.