KENNY KIM (NPI# 1336352830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336352830 |
| Entity Type | Individual |
| Full Name | KENNY KIM |
| Credential | DDS |
| Practice Address |
20147 Pioneer Blvd Lakewood CA 90715-1051 |
| Practice Telephone | 5629240558 |
| Mailing Telephone | 5629240558 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 54955 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176442 | Kenny Kim | Technician | 1440 Kapiolani Blvd Ste 1212, Honolulu, HI 96814-3618 | 2020-08-28 |
| 1174733562 | Kenny Kim | Dentist | 1720 Hamilton Ave, San Jose, CA 95125-5424 | 2007-05-23 |
| Street Address |
20147 PIONEER BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90715-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881754489 | Candice Yee Chen | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-12 |
| 1033664172 | Kenny Young Kim Dds Inc | Dentist | 20147 Pioneer Blvd, Lakewood, CA 90715-1051 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437510674 | Katie Perez | Technician, Other | 11907 205 St, Lakewood, CA 90715 | 2016-03-16 |
| 1699171504 | Amanda N Mcginnis | Dental Hygienist | 21001 Dalaman Ave, Lakewood, CA 90715 | 2014-11-05 |
| 1356458020 | Ellen L Chen | Dentist | 20147 S Pioneer Blvd, Lakewood, CA 90715 | 2006-08-25 |
| 1407012958 | Suraiya Motala | Student in an Organized Health Care Education/Training Program | 20215 Village Green Dr, Lakewood, CA 90715-1010 | 2008-08-04 |
| 1881250009 | Jennifer Roche-sheets | Counselor | 20133 Jersey Ave, Lakewood, CA 90715-1047 | 2019-05-13 |
| 1285766253 | Woosung Ahn, M.d., Inc | Internal Medicine | 20145 Pioneer Blvd, Lakewood, CA 90715-1051 | 2007-03-12 |
| 1396807806 | Woo Sung Ahn | Internal Medicine | 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-12-14 |
| 1972515195 | Younghae Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 20141 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-08-13 |
| 1114942711 | Ralphs Grocery Company | Durable Medical Equipment & Medical Supplies | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2006-07-13 |
| 1336562990 | Jujin Shin | Pharmacist | 20137 Pioneer Blvd, Lakewood, CA 90715-1051 | 2014-01-31 |
| Find all providers in zip 90715 | ||||
| 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 |
|---|---|---|---|---|
| 1760025894 | Lakewood Dental Associates, LLC | Dentist | 838 River Ave Ste 1, Lakewood, NJ 08701-5279 | 2019-10-22 |
| 1851933287 | Jeri A. Logan | Dentist | 8064 W Jewell Ave Unit 100, Lakewood, CO 80232-6710 | 2019-10-17 |
| 1457838294 | Narges Lotfizadeh Dehkordi | Dentist | 5605 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3855 | 2018-07-24 |
| 1770069239 | Jeffrey A. Osborn | Dentist | 8520 Steilacoom Blvd Sw Ste 202, Lakewood, WA 98498-4773 | 2018-07-17 |
| 1790279743 | Andrew Montalvo | Dentist | 12375 W Auburn Dr, Lakewood, CO 80228-4747 | 2018-06-21 |
| 1508376906 | Green Gables Dental LLC | Dentist | 7586 W Jewell Ave # 2-303, Lakewood, CO 80232-6890 | 2017-10-11 |
| 1073964284 | Travis Jay Barr | Dentist | 3333 S Wadsworth Blvd Unit D305, Lakewood, CO 80227-5142 | 2016-06-29 |
| 1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
| 1831556117 | John Kim | Dentist | 10011 Bridgeport Way Sw, Ste 700, Lakewood, WA 98499-2332 | 2016-01-18 |
| 1811361751 | Simple Smiles, Pllc | Dentist | 225 S Sheridan Blvd Ste 114, Lakewood, CO 80226-2405 | 2015-11-16 |
| Find all providers in LAKEWOOD | ||||
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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.