DR. NAM KWON KIM (NPI# 1326024985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326024985 |
| Entity Type | Individual |
| Full Name | DR. NAM KWON KIM |
| Credential | DDS |
| Practice Address |
8476 Simonds Street Usa Dentac Ft Meade MD 20755-5700 |
| Practice Telephone | 3016776122 |
| Practice Fax Number | 3016775710 |
| Mailing Telephone | 3016776122 |
| Mailing Fax Number | 3016775710 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 12574 | MD | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12574 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164820148 | Nam Hoon Kim | Chiropractor | 18206 Se Stark St, Portland, OR 97233-4863 | 2014-12-08 |
| 1255606208 | Nam Hyuk Kim | Dentist | 10710 Eldorado Pkwy Ste 160, Frisco, TX 75035 | 2012-03-08 |
| 1912146796 | Nam Hee Kim | Speech-Language Pathologist | 5714 Post Rd, Bronx, NY 10471-2210 | 2009-02-18 |
| 1043345630 | Nam Hyoung Kim | Acupuncturist | 15225 Ne 20th St, Bellevue, WA 98007-3823 | 2007-02-22 |
| 1154424364 | Nam H Kim | Internal Medicine | 501 Golder Ave Ste 203, Odessa, TX 79761-4411 | 2006-09-06 |
| 1538261862 | Nam Un Kim | Acupuncturist | 8158 Beverly Blvd, Los Angeles, CA 90048 | 2006-09-05 |
| 1285625202 | Nam Eung Kim | Radiology | 5020 N Ashland Ave, Chicago, IL 60640-2880 | 2005-10-31 |
| 1942506472 | Nam Ho Kim | Student in an Organized Health Care Education/Training Program | 128 E Apple St, Wright State Univ Dept of Internal Medicine, 2nd Floor, Dayton, OH 45409-2902 | 2011-01-31 |
| 1548318421 | Nam Hoon Kim | Acupuncturist | 27124 20th Pl S, Kent, WA 98032-6962 | 2007-01-08 |
| 1861572513 | Nam Uk Kim | Internal Medicine | 16200 Sand Canyon Ave, Irvine, CA 92618-3714 | 2006-10-17 |
| Street Address |
8476 SIMONDS STREET USA DENTAC |
| City | FT MEADE |
| State | MD |
| Zip Code | 20755-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451216 | Patrick Hoye | Dentist | 8472 Simonds Street, Epes Dental Clinic, Ft. Meade, MD 20755 | 2017-08-01 |
| 1982150561 | Martha Davis | Technician | 2553 Hartel St, Fort Meade, MD 20755 | 2016-09-01 |
| 1649725995 | Jaclyn Leith | Psychologist | 2479 5th St., Ft. Meade, MD 20755 | 2016-08-16 |
| 1548613417 | Catherine Geller | Dental Hygienist | 8476 Simonds St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-07-15 |
| 1396194510 | Cristina Ribeiro | Dental Hygienist | 8476 Simond St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1508215765 | Nicole Ferris | Dental Hygienist | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1487031548 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Rose Street, Bldg 2799, Ft Meade, MD 20755 | 2015-04-28 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1578980744 | Claudia Goleburn | Psychologist | 2479 5th St, Ft Meade, MD 20755 | 2014-03-25 |
| 1093063158 | Michael Elsworth Yapp | Pharmacist | 24180 Llewellyn Avenue, Fort Meade, MD 20755 | 2012-08-21 |
| Find all providers in zip 20755 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404157 | Rct Endodontics of North Potomac, LLC | Dentist | 11906 Darnestown Rd Ste G, North Potomac, MD 20878-2200 | 2020-07-22 |
| 1750909651 | Azad Dental Group | Dentist | 1020 Mill Pond Rd Ste F, Frederick, MD 21701-9428 | 2020-07-08 |
| 1831758382 | Georgetowne Park Endodontics | Dentist | 5846 Hubbard Dr, Rockville, MD 20852-4820 | 2019-06-09 |
| 1568021012 | Endodontics of Gaithersburg, LLC | Dentist | 847 Quince Orchard Blvd Ste G, Gaithersburg, MD 20878-1677 | 2019-06-09 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1649754482 | Greater Maryland Endodontics, LLC | Dentist | 7676 New Hampshire Ave Ste 424, Takoma Park, MD 20912-7516 | 2018-09-18 |
| 1346730249 | Alexis Joy Herring | Dentist | 29466 Pintail Dr Ste 16, Easton, MD 21601-9324 | 2018-05-16 |
| 1023510575 | Advanced Endodontics Specialty Doctors | Dentist | 5802 Hubbard Dr, Rockville, MD 20852-4818 | 2018-03-01 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| Find all providers with the same taxonomy | ||||
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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.