MIN JEONG KIM (NPI# 1336746676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336746676 |
| Entity Type | Individual |
| Full Name | MIN JEONG KIM |
| Credential | DDS |
| Practice Address |
1077 Brighton Pl Mountain View CA 94040-2204 |
| Practice Telephone | 6173315360 |
| Mailing Telephone | 6173315360 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105672 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689153207 | Min Jeong Kim | Student in an Organized Health Care Education/Training Program | 10 Center Dr Building 10 B1d43r, Bethesda, MD 20892-1026 | 2018-08-14 |
| 1659909901 | Min Jeong Kim | Pharmacist | 1905 W El Camino Real, Mountain View, CA 94040-2216 | 2020-03-31 |
| 1669904892 | Min Jeong Kim | Internal Medicine | 1325 Satellite Blvd Nw, Bldg 700 Ste 701a, Suwanee, GA 30024-4651 | 2017-03-28 |
| Street Address |
1077 BRIGHTON PL |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| 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 |
|---|---|---|---|---|
| 1871085670 | Randeep Dhillon | Dentist | 65 Evandale Ave Apt B, Mountain View, CA 94043 | 2018-06-06 |
| 1649772559 | Melissa Shing | Dentist | 100 W El Camino Real Ste 78, Mountain View, CA 94040-2679 | 2018-03-07 |
| 1063920858 | Jason Jung Lee | Dentist | 2486 W El Camino Real, Mountain View, CA 94040-1421 | 2018-01-16 |
| 1568833622 | My Hang Nguyen | Dentist | 80 W El Camino Real, Suite G, Mountain View, CA 94040-2672 | 2015-10-15 |
| 1356718548 | Tracy Tat Kheradpour | Dentist | 1950 Montecito Ave Apt 22, Mountain View, CA 94043-4334 | 2015-08-24 |
| 1942540182 | Chandra Kodey Dds, Inc | Dentist | 1702 Miramonte Ave, A, Mountain View, CA 94040-3773 | 2013-02-26 |
| 1083993869 | Nazak Noorian | Dentist | 1429 Grant Rd Ste B, Mountain View, CA 94040-3250 | 2011-08-10 |
| 1831328194 | Ekta Ankur Shah | Dentist | 1929 Crisanto Ave, Apt. 326, Mountain View, CA 94040-1841 | 2009-07-08 |
| 1154573913 | Chetan Yelamanchi | Dentist | 555 W Middlefield Rd Apt S307, Mountain View, CA 94043-3553 | 2008-10-10 |
| 1649487539 | Huy Thanh Do, Dds Inc. | Dentist | 756 California St, Suite B, Mountain View, CA 94041-2006 | 2007-05-17 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
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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.