DR. JUNG KI KIM X (NPI# 1104845841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104845841 |
| Entity Type | Individual |
| Full Name | DR. JUNG KI KIM X |
| Credential | D.D.S.,P.S. |
| Practice Address |
1519 E Edison Ave Sunnyside WA 98944-1624 |
| Mailing Address |
Po Box 58 Sunnyside WA 98944-0058 |
| Practice Telephone | 5098373292 |
| Practice Fax Number | 5098373448 |
| Mailing Telephone | 5098373292 |
| Mailing Fax Number | 5098373448 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00006739 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | UNITED CONCORDIA | 867897 | 01 |
| WA | 5013594 | 05 | |
| WA | L&I | 49548 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136659 | Jung E Kim | Speech-Language Pathologist | 37 Summit Ave, Metuchen, NJ 08840 | 2017-07-14 |
| 1215307095 | Jung O. Kim IIi | Nurse Practitioner | 23247 Mcbean Parkway, Valencia, CA 91355 | 2015-10-06 |
| 1528323714 | Jung Kim | Dietitian, Registered | 540 Ashbourne Rd, Cheltenham, PA 19012-1702 | 2012-07-12 |
| 1902163090 | Jung Kyung Kim | Acupuncturist | 2049 P C H Ste 107, Lomita, CA 90717-2661 | 2012-04-13 |
| 1174818496 | Jung H Kim | Dentist | 309a Broad Ave, Palisades Park, NJ 07650-1620 | 2011-06-15 |
| 1104145226 | Jung Il Kim | Acupuncturist | 2315 Marks Dr, Tustin, CA 92782-1500 | 2010-05-28 |
| 1255662896 | Jung S Kim | Acupuncturist | 26 Bellinger Ct., Reisterstown, MD 21136 | 2010-01-21 |
| 1396910733 | Jung Min Kim | Dentist | 4233 Rosewood Dr, 11, Pleasanton, CA 94588 | 2008-04-28 |
| 1134311699 | Jung Hee Kim | Acupuncturist | 2650 W Temple St, Los Angeles, CA 90026-4822 | 2007-08-17 |
| 1235320037 | Jung Sook Kim | Acupuncturist | 7230 Medical Center Dr Ste 400, West Hills, CA 91307-4013 | 2007-08-06 |
| Street Address |
1519 E EDISON AVE |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| 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 |
|---|---|---|---|---|
| 1124497318 | Chris Cho | Dentist | 4415 43rd Ave Apt E5, Sunnyside, NY 11104-2255 | 2015-09-18 |
| 1073918835 | Greg Norell, Dds | Dentist | 2201 E Edison Rd, Ste 2, Sunnyside, WA 98944-9214 | 2014-10-22 |
| 1396079794 | Soo Jin Chang | Dentist | 3920 Greenpoint Ave, 6a, Sunnyside, NY 11104-4532 | 2009-10-01 |
| 1184779019 | Dustin S Shin | Dentist | 4810 Skillman Ave, 1fl, Sunnyside, NY 11104-1026 | 2007-01-23 |
| 1285786863 | Navjot S Khurana Dmd Ps | Dentist | 110 W Yakima Valley Hwy, Sunnyside, WA 98944 | 2007-01-17 |
| 1861559866 | Gregory John Norell | Dentist | 2201 East Edison Ave, Ste 2, Sunnyside, WA 98944 | 2007-01-02 |
| 1467547059 | Robert A Larson | Dentist | 412 S 13th St, Sunnyside, WA 98944-1571 | 2006-10-03 |
| 1487747895 | Satish Patole | Dentist | 4701 Queens Blvd Ste 407, Sunnyside, NY 11104-1600 | 2006-09-30 |
| 1942214754 | Hana Dental Care P.C. | Dentist | 3931 47th Ave, Sunnyside, NY 11104-3576 | 2006-07-28 |
| 1154385771 | Martin & Rodriguez Dental Center Pllc | Dentist | 1723 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2006-04-12 |
| Find all providers in SUNNYSIDE | ||||
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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.