JEONG E. KIM (NPI# 1144439720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144439720 |
| Entity Type | Individual |
| Full Name | JEONG E. KIM |
| Credential | DDS |
| Practice Address |
450 S Glendora Ave Ste. 106 West Covina CA 91790-3066 |
| Mailing Address |
256 S La Fayette Park Pl Apt 207 Los Angeles CA 90057-1385 |
| Practice Telephone | 6268563317 |
| Mailing Telephone | 2138203398 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D54452 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | D54452 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821634270 | Jeong Moon Kim | Technician/Technologist | 4200 Chino Hills Pkwy Ste 810, Chino Hills, CA 91709-3785 | 2019-11-20 |
| 1578778825 | Jeong Doo Kim | Dentist | 4000 Tyler St Ste A, Riverside, CA 92503-3458 | 2007-05-11 |
| 1861591786 | Jeong H. Kim | Internal Medicine | 11812 N Creek Pkwy N Ste 202, Bothell, WA 98011 | 2006-09-21 |
| 1619986437 | Jeong H Kim | Internal Medicine | 1401 S Beretania St Ste 320, Honolulu, HI 96814-1872 | 2006-08-08 |
| 1184652026 | Jeong J Kim | Nurse Practitioner | 9332 Bridgeport Way Sw, Lakewood, WA 98499-1569 | 2006-06-29 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1750768107 | Jeong Kim | Nurse Practitioner | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2015-05-05 |
| 1124369285 | Jeong I Kim | Pharmacist | 1890 Metro Center Dr, Reston, VA 20190-5286 | 2013-03-13 |
| 1326270224 | Jeong Ai Kim | Psychiatry & Neurology | 9310 Sierra Ave, Fontana, CA 92335-5711 | 2009-08-12 |
| 1447383401 | Jeong Un Kim | Acupuncturist | 545 S Alvarado St, #b, Los Angeles, CA 90057-2903 | 2007-03-13 |
| Street Address |
450 S GLENDORA AVE STE. 106 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750487328 | Shaileshkumar M Bhatt | Dentist | 450 S Glendora Ave, Suite 106, West Covina, CA 91790-3066 | 2006-09-14 |
| 1568899284 | Jeffrey T Rafalski | Dentist | 450 S Glendora Ave, West Covina, CA 91790-3066 | 2013-09-27 |
| 1629261151 | Faria Chohan | Dentist | 450 S Glendora Ave, Suite #106, West Covina, CA 91790-3066 | 2007-08-17 |
| 1720200447 | S M Bhatt Dds Inc | Dentist | 450 S Glendora Ave, Suite 106, West Covina, CA 91790-3066 | 2007-05-03 |
| 1144390584 | Negar Sazgar | Dentist | 450 S Glendora Ave, West Covina, CA 91790-3066 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160083 | Banaria Dental Group Inc | Dentist | 1550 E. Amar Road Suite V, West Covina, CA 91792 | 2019-05-23 |
| 1114403300 | Nisarg Patel | Dentist | 360 S Glendora Ave Ste 1, West Covina, CA 91790-5939 | 2018-07-11 |
| 1346765070 | Mariechris Ancheta Sapinoso | Dentist | 3209 S Veronica Ave, West Covina, CA 91792-2345 | 2017-08-03 |
| 1942722269 | Victor Chow | Dentist | 662 S Sunset Ave Ste 102, West Covina, CA 91790-2806 | 2017-07-07 |
| 1144775602 | Javier Dentistry Dds Corp | Dentist | 266 S Glendora Ave, Unit A, West Covina, CA 91790-3042 | 2016-08-24 |
| 1275989659 | Marie Beverly Dizon | Dentist | 1516 Stardust Dr, West Covina, CA 91790-4558 | 2016-05-04 |
| 1518330331 | Elizabeth Reyes Baylon | Dentist | 555 S. California Ave., West Covina, CA 91790 | 2015-11-02 |
| 1356710727 | West Covina Dental Group | Dentist | 2700 E Workman Ave Ste A, West Covina, CA 91791-1628 | 2015-09-16 |
| 1003291642 | Sahawneh Dental Corporation | Dentist | 1400 W West Covina Pkwy, West Covina, CA 91790-2731 | 2015-07-24 |
| 1376937219 | Elizabeth Hsi | Dentist | 2360 S Azusa Ave, West Covina, CA 91792-1539 | 2015-03-27 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.