DR. JI IN KIM (NPI# 1164677746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164677746 |
| Entity Type | Individual |
| Full Name | DR. JI IN KIM |
| Credential | D.D.S. |
| Practice Address |
150 E Centennial Pkwy Ste 113 N Las Vegas NV 89084 |
| Mailing Address |
150 E Centennial Pkwy Ste 113 North Las Vegas NV 89084-1338 |
| Practice Telephone | 7026421386 |
| Practice Fax Number | 7026426321 |
| Mailing Telephone | 7026421386 |
| Mailing Fax Number | 7026426321 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6120 | NV | Dental Providers |
| N | 122300000X | Dentist | 57816 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 E Centennial Pkwy Ste 113, N Las Vegas, NV 89084 | 7026421386 | 7026426321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639554 | Ji Sun Kim | Pharmacist | 1100 W Glendon Way Apt 20, Alhambra, CA 91803-3194 | 2015-05-21 |
| 1740599869 | Ji Woo Kim | Acupuncturist | 424 S 308th St, Federal Way, WA 98003-4025 | 2010-10-07 |
| 1740357755 | Ji S Kim | Dentist | 26750 Grand River Ave, Redford, MI 48240-1529 | 2006-11-29 |
| 1578641023 | Ji Yong Kim | Acupuncturist | 225 Broad Ave, Palisades Park, NJ 07650-1588 | 2006-11-01 |
| 1114533965 | Ji Hyun Kim | Pharmacist | 7600 Schomburg Rd, Columbus, GA 31909 | 2020-09-17 |
| 1457907487 | Ji Kim | Acupuncturist | 196 Main St, Nanuet, NY 10954-3324 | 2019-08-15 |
| 1487216198 | Ji Su Kim | Nurse Anesthetist, Certified Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2019-07-02 |
| 1740740356 | Ji Ho Kim | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2019-03-20 |
| 1225501596 | Ji Kim | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2019-01-09 |
| 1679063598 | Ji S Kim | Social Worker | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2018-05-16 |
| Street Address |
150 E CENTENNIAL PKWY STE 113 |
| City | N LAS VEGAS |
| State | NV |
| Zip Code | 89084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| 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 |
|---|---|---|---|---|
| 1295099216 | Brett Earl Davis | Dentist | 3896 N Mlk Blvd, N Las Vegas, NV 89032-6603 | 2012-06-25 |
| 1730587007 | Susan Olson | Dentist | 3896 N Martin L King Blvd, N Las Vegas, NV 89032-6603 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091167 | Clare Haeram Lee | Dentist | 570 Putnam Dr, Reno, NV 89503-1636 | 2020-10-19 |
| 1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
| 1144827767 | Smilerestore | Dentist | 5365 Mae Anne Ave Ste B1, Reno, NV 89523-1897 | 2020-10-06 |
| 1083227383 | Steven Hadawar | Dentist | 3519 Saint Rose Pkwy Ste 110, Henderson, NV 89052-4598 | 2020-08-26 |
| 1083227458 | Khurram Fahim | Dentist | 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 | 2020-08-26 |
| 1104437532 | Sean Truong | Dentist | 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 | 2020-08-10 |
| 1922618909 | North Vegas Dental | Dentist | 1631 W Craig Rd Ste 10, North Las Vegas, NV 89032-0227 | 2020-08-05 |
| 1518585785 | Jaclyn Richardson | Dentist | 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 | 2020-07-14 |
| 1588283592 | Hyungbin Lee | Dentist | 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 | 2020-04-09 |
| 1205478732 | Gb Dental, LLC | Dentist | 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 | 2019-10-16 |
| Find all providers with the same taxonomy | ||||
| City | N LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on DR. JI IN KIM.
| 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.