DR. SCARLET KIM (NPI# 1033562939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033562939 |
| Entity Type | Individual |
| Full Name | DR. SCARLET KIM |
| Credential | DDS |
| Practice Address |
3490 Lancaster Dr Ne Salem OR 97305-1356 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 5035856388 |
| Mailing Telephone | (503) 952-2588 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10635 | OR | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
00000000 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 82 E Francis Ave, Spokane, WA 992081070 | 5094844746 | 5094848281 |
| Street Address |
3490 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629134630 | Mary Ann Yoo | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305 | 2006-12-28 |
| 1427693423 | Guinevere Noelle Tadina | Dental Hygienist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2019-11-13 |
| 1720500044 | Rachel Lee Means | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2017-07-07 |
| 1750835682 | John Waite | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2016-08-09 |
| 1679946636 | Ying Wan | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2015-11-12 |
| 1992182026 | Willamette Dental Group | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2015-04-27 |
| 1386041358 | Erda Carmel Pradel | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2014-11-19 |
| 1942609607 | Monica Breana Kowalski | Dentist | 3490 Lancaster Dr Ne, Salem, OR 97305 | 2014-08-19 |
| 1447596366 | Aimee Renee Axtell | Dental Hygienist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2012-12-20 |
| 1770715005 | Michele R Davidson | Dental Hygienist | 3490 Lancaster Dr Ne, Salem, OR 97305-1356 | 2009-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| 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 |
|---|---|---|---|---|
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1528626660 | Stephanie Danielle Gibbons | Dentist | 5 Dawn St, Salem, NH 03079-3231 | 2019-06-04 |
| 1407414642 | Selma Moon Pierce | Dentist | 961 Glen Eden Ct Nw, Salem, OR 97304-2258 | 2019-06-03 |
| 1295392926 | Brock Jesse Nelson | Dentist | 631 Jason St Ne Ste 150, Salem, OR 97301-2750 | 2019-05-29 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1437643616 | Idylwood Dental LLC | Dentist | 4392 Liberty Road, Salem, OR 97302-6171 | 2018-06-20 |
| 1619428281 | William D. Bateman, Dmd, LLC | Dentist | 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 | 2016-10-19 |
| 1134545494 | Caroline Wallace | Dentist | 103 S Colorado St, Salem, VA 24153-3848 | 2014-03-11 |
| 1275960296 | Amy Trevor | Dentist | 1595 Commercial St. Se, Salem, OR 97302 | 2013-10-04 |
| 1558601385 | Crisdental East Salem, LLC | Dentist | 3545 Lancaster Dr Ne, Salem, OR 97305-1435 | 2013-02-14 |
| Find all providers in SALEM | ||||
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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.