JIWON KIM (NPI# 1326566639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326566639 |
| Entity Type | Individual |
| Full Name | JIWON KIM |
| Credential | DDS |
| Practice Address |
1580 N Franklin St Ste 7 Christiansburg VA 24073-1476 |
| Practice Telephone | 5407797559 |
| Mailing Telephone | 5407797559 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2019-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401415795 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1121 S Jefferson St, Roanoke, VA 24016 | (319) 621-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952611089 | Jiwon Kim | Dentist | 10720 Lakewood Blvd Apt 107, Downey, CA 90241-3562 | 2010-10-07 |
| 1811171960 | Jiwon Kim | Acupuncturist | 5006 Tamiami Trl N, Naples, FL 34103-2801 | 2007-12-26 |
| 1033765748 | Jiwon Kim | Nurse Practitioner | 1901 1st Ave, New York, NY 10029-7494 | 2019-08-18 |
| 1194229054 | Jiwon Christina Kim | Social Worker | 100 W Walnut St Ste 375, Pasadena, CA 91124-0001 | 2018-03-23 |
| 1548427545 | Jiwon Kim | Internal Medicine | 520 E 70th St, New York, NY 10021-9800 | 2008-05-19 |
| 1437298767 | Jiwon W Kim | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-02-05 |
| Street Address |
1580 N FRANKLIN ST STE 7 |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| 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 |
|---|---|---|---|---|
| 1285806646 | Myers-iii Dental Services Inc. | Dentist | 103a College St, Christiansburg, VA 24073-2923 | 2008-03-26 |
| 1588746093 | Raymond F Munz | Dentist | 103 College St Ste B, Christiansburg, VA 24073-3058 | 2006-10-20 |
| 1912920349 | Sharlene Darcy Amacher | Dentist | 105 Akers Farm Road, Christiansburg, VA 24091-6093 | 2006-07-26 |
| 1326578865 | Shadae Person | Dentist | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2017-06-18 |
| 1063941375 | Jacqueline Alexandria Brown | Dentist | 135 Conston Ave, Christiansburg, VA 24073-1151 | 2017-06-08 |
| 1851771752 | Catherine Jean Mansdoerfer | Dentist | 215 Roanoke St, Christiansburg, VA 24073-3025 | 2015-06-04 |
| 1356735054 | Bass & Kamp, Pllc | Dentist | 209 Roanoke St Ste 6, Christiansburg, VA 24073-3035 | 2015-03-20 |
| 1245534395 | Fawzia Bhavnagri | Dentist | 601 Roanoke St, Christiansburg, VA 24073-3142 | 2011-01-04 |
| 1144232968 | Jae W Park | Dentist | 114 N Franklin St, Christiansburg, VA 24073-2953 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588488 | Nishchal Mukesh Dalal | Dentist | 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 | 2020-11-08 |
| 1679173140 | Obada Itemaad Salem | Dentist | 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 | 2020-10-26 |
| 1205434628 | Helina Mesfun | Dentist | 6512 Greenview Ln, Springfield, VA 22152-2918 | 2020-10-16 |
| 1952909731 | Kimia Khoshroo | Dentist | 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 | 2020-10-13 |
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1184221616 | American Dental Pllc | Dentist | 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 | 2020-10-07 |
| 1013523380 | Nour Hussam Tellawi | Dentist | 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 | 2020-09-21 |
| 1760097737 | Jamiah Dawson, Dds, P.C. | Dentist | 12731 Jefferson Ave, Newport News, VA 23602-4317 | 2020-09-15 |
| 1477165561 | Amina Mekic | Dentist | 14337 Newbrook Dr, Chantilly, VA 20151-4258 | 2020-08-19 |
| 1942811906 | Christine Baek Mcandrew | Dentist | 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
Please comment or provide details below to improve the information on JIWON 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.