DR. ALICIA KIM (NPI# 1326647405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326647405 |
| Entity Type | Individual |
| Full Name | DR. ALICIA KIM |
| Credential | DMD |
| Practice Address |
651 Squire Rd Revere MA 02151-1866 |
| Mailing Address |
110 Beverly St Apt 706 Boston MA 02114-2296 |
| Practice Telephone | 7812893331 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1858864 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210308 | Alicia Jinyoung Kim | Student in an Organized Health Care Education/Training Program | 462 1st Ave, New York, NY 10016-9196 | 2019-05-16 |
| 1770931925 | Alicia Kim | Counselor | 2210 Clay St, San Francisco, CA 94115-1930 | 2016-05-27 |
| 1922415306 | Alicia Kim | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2014-07-17 |
| Street Address |
651 SQUIRE RD |
| City | REVERE |
| State | MA |
| Zip Code | 02151-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760718126 | Apple Dental Associates, LLC | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2009-10-20 |
| 1568023695 | Nathan Jang | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2019-06-28 |
| 1275042723 | Kanika Vaswani | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| 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 |
|---|---|---|---|---|
| 1285005207 | All Dental of Revere | Dentist | 370 Broadway, Revere, MA 02151-5016 | 2015-10-16 |
| 1083020283 | Ryan Matthew Kirschner | Dentist | 21 Overlook Ridge Ter Unit 208, Revere, MA 02151-1192 | 2014-07-08 |
| 1073784344 | Albert A Bonasoro Jr. | Dentist | 519 Malden St, Revere, MA 02151-1860 | 2008-03-14 |
| 1700943420 | Michael Moll | Dentist | 7 Foster St, Suite 1, Revere, MA 02151-3419 | 2007-01-02 |
| 1891873899 | Olufemi A Oguntolu | Dentist | 252 Squire Rd, Revere, MA 02151-4311 | 2006-11-01 |
| 1902816226 | Craig Alfred Costanza | Dentist | 48 Newhall St, Revere, MA 02151 | 2006-08-09 |
| 1669496428 | Gennaro Loiis Cataldo | Dentist | 54 Newhall St, Revere, MA 02151-2327 | 2006-07-26 |
| 1568023695 | Nathan Jang | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2019-06-28 |
| 1275042723 | Kanika Vaswani | Dentist | 651 Squire Rd, Revere, MA 02151-1866 | 2017-09-27 |
| 1407393127 | Annese Dmd LLC | Dentist | 106 Broadway, Revere, MA 02151-5305 | 2017-01-20 |
| Find all providers in REVERE | ||||
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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.