DR. KENNETH KIM (NPI# 1205210929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205210929 |
| Entity Type | Individual |
| Full Name | DR. KENNETH KIM |
| Credential | D.M.D. |
| Practice Address |
6519 Fm 1488, Westwood Village #505 Magnolia TX 77354 |
| Mailing Address |
20212 Eva St. #160 Montgomery TX 77356 |
| Practice Telephone | 2813058835 |
| Mailing Telephone | 6172813190 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
31108 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20212 Eva St., #160, Montgomery, TX 77356 | 6172813190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547528 | Kenneth Kim | Registered Nurse | 59 Grafe St, Staten Island, NY 10309-1774 | 2014-12-26 |
| 1760741342 | Kenneth Taik Kim | Physical Therapist | 3301 S Hoover St, Los Angeles, CA 90007-3557 | 2012-05-16 |
| 1952473274 | Kenneth Kwanyoung Kim | Surgery | 10830 Garland Dr, Culver City, CA 90232-3755 | 2006-11-14 |
| 1205833563 | Kenneth T Kim | Allergy & Immunology | 2600 Redondo Ave, Ste 400, Long Beach, CA 90806-2330 | 2005-07-01 |
| 1710509054 | Kenneth C Kim | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-09 |
| 1003441262 | Kenneth Taeyoung Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-03-09 |
| 1164914339 | Kenneth Kim | Student in an Organized Health Care Education/Training Program | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2018-06-04 |
| 1780942375 | Kenneth Kim | Emergency Medicine | 101 The City Dr S Bldg 200, Orange, CA 92868-3201 | 2012-05-02 |
| 1568690832 | Kenneth Pak Kim | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2009-06-25 |
| 1225295181 | Kenneth Keisung Kim | Psychologist | 411 Oak St, Cincinnati, OH 45219-2504 | 2008-05-19 |
| Street Address |
6519 FM 1488, WESTWOOD VILLAGE, #505 |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| 1851674105 | Aj Marshall, LLC | Clinic/Center | 33300 Egypt Lane, Suite B400, Magnolia, TX 77354 | 2011-09-22 |
| Find all providers in zip 77354 | ||||
| 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 |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1417593617 | Serenity Magnolia Dental Pllc | Dentist | 6519 Fm 1488 Rd Ste 505, Magnolia, TX 77354-3264 | 2019-11-22 |
| 1811558653 | Soteji T Adeuti | Dentist | 6606 Farm To Market Rd 1488, Suite 136, Magnolia, TX 77354-2545 | 2019-06-24 |
| 1356834840 | Hsin Ryan Ho | Dentist | 18640 Fm 1488 Rd Ste D, Magnolia, TX 77354-8517 | 2018-06-11 |
| 1275063232 | Courtney Leeann Hoffman | Dentist | 827 S. Magnolia Blvd., Suite 1, Magnolia, TX 77355 | 2017-06-13 |
| 1619424421 | Dillon Copeland | Dentist | 827 Magnolia Blvd Ste 1, Magnolia, TX 77355-8553 | 2016-09-09 |
| 1952712200 | Cabrera & Shere Pllc | Dentist | 6318 Fm 1488 Rd Ste 120, Magnolia, TX 77354-2763 | 2014-05-08 |
| 1295158087 | Northwest Dental PC | Dentist | 18602 Fm 1488 Rd Ste 200, Magnolia, TX 77354-8507 | 2014-01-29 |
| 1053689547 | Smiles LLC | Dentist | 5403 Fm 1488 Rd Ste 7, Magnolia, TX 77354-2524 | 2011-12-12 |
| Find all providers in MAGNOLIA | ||||
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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.