SUN HO KIM (NPI# 1376036814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376036814 |
| Entity Type | Individual |
| Full Name | SUN HO KIM |
| Credential | DMD |
| Practice Address |
1 Washington St Ste 103 Wellesley MA 02481-1706 |
| Practice Telephone | 7812355700 |
| Mailing Telephone | 7812355700 |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN1858057 | MA | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DN1858057 | MA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Kneeland St Fl 11, Boston, MA 02111 | 6176366796 | 6176366885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982882817 | Sun Ho Kim II | Pharmacist | 3915 Main St, Flushing, NY 11354-5431 | 2008-02-01 |
| Street Address |
1 WASHINGTON ST STE 103 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| 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 |
|---|---|---|---|---|
| 1285752766 | Tevyah J Dines | Dentist | 35 Leewood Rd, Wellesley, MA 02482-2335 | 2007-03-26 |
| 1659497550 | Maryam Shomali | Dentist | 40 Grove St, Wellesley, MA 02482-7702 | 2007-03-22 |
| 1568500452 | C. Robert Goldberg | Dentist | 40 Grove St, Suite 420, Wellesley, MA 02482-7702 | 2007-02-02 |
| 1861530743 | Wellesley Endodontics, Inc. | Dentist | 40 Grove St, Suite 420, Wellesley, MA 02482-7702 | 2007-02-02 |
| 1639232523 | Vangel Zissi | Dentist | 1 Washington St, Suite 103, Wellesley, MA 02481-1711 | 2006-12-19 |
| 1851453450 | Emina Zaganjori | Dentist | 1 Washington St, Suite 103, Wellesley, MA 02481-1711 | 2006-12-14 |
| 1033270020 | Steven Corliss | Dentist | 1 Washington St, Suite 103, Wellesley, MA 02481 | 2006-12-13 |
| 1629139597 | Raina Trilokekar | Dentist | 1 Washington St, Suite 103, Wellesley, MA 02481-1711 | 2006-12-13 |
| 1306907282 | Peter Velyvis | Dentist | 1 Washington St, Suite 103, Wellesley, MA 02481-1711 | 2006-12-13 |
| 1487715454 | Ronit Smolyar | Dentist | 1 Washington St, Suite 103, Wellesley, MA 02481-1711 | 2006-12-13 |
| Find all providers in WELLESLEY | ||||
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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.