CALVIN H. KIM DDS PLLC (NPI# 1255713335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255713335 |
| Entity Type | Organization |
| Organization Name | CALVIN H. KIM DDS PLLC |
| Other Organization Name | CHEHALIS FAMILY DENTAL |
| Practice Address |
1299 Bishop Rd Ste B Chehalis WA 98532-8758 |
| Practice Telephone | 3607409999 |
| Practice Fax Number | 3607409998 |
| Mailing Telephone | 3607409999 |
| Mailing Fax Number | 3607409998 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | DR. CALVIN H KIM (DENTIST/ OWNER) |
| Authorized Official Telephone | 3607409999 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | OLYMPIA FAMILY DENTAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE8725 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Chehalis Family Dental | Doing Business As Name - Organization |
| Street Address |
1299 BISHOP RD STE B |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740785476 | John H Cho Dds LLC | Clinic/Center | 1299 Bishop Rd Ste B, Chehalis, WA 98532-8758 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| 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 |
|---|---|---|---|---|
| 1003254707 | Richard R Walker | Dentist | 1292 S. Market Blvd, Chehalis, WA 98532 | 2013-06-05 |
| 1578893590 | Trisha T. Goldsby D.d.s., P.s. | Dentist | 388 Sw 13th St, Chehalis, WA 98532-3609 | 2010-01-14 |
| 1063561975 | John Robert Wohlers | Dentist | 256 Nw Park St, Chehalis, WA 98532-2023 | 2007-01-09 |
| 1225104383 | Trisha Goldsby | Dentist | 17 Sw Cascade Ave, Chehalis, WA 98532-4827 | 2006-11-28 |
| 1538243480 | John Pham Dds PC | Dentist | 1515 Nw Louisiana Ave, Town Center Dental, Chehalis, WA 98532 | 2006-10-25 |
| 1760570691 | Ernest M Yamane Dds | Dentist | 1292 S Market Bv, Chehalis, WA 98532 | 2006-10-10 |
| 1447344700 | Trisha Terumi Goldsby | Dentist | 388 Southwest 13th Street, Box 120, Chehalis, WA 98532-4827 | 2006-10-03 |
| 1700853595 | Randy E Lindblad | Dentist | 68 Sw 13th St, Chehalis, WA 98532-0985 | 2006-03-01 |
| 1316564925 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 68 Sw 13th St, Chehalis, WA 98532-3627 | 2020-06-30 |
| 1609258029 | Ernest Mori Yamane | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2015-06-22 |
| Find all providers in CHEHALIS | ||||
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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.