DAE SIK ALEX KIM (NPI# 1376959700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376959700 |
| Entity Type | Individual |
| Full Name | DAE SIK ALEX KIM |
| Credential | D.P.M. |
| Practice Address |
1108 W Pioneer Pkwy # 200 Arlington TX 76013-7627 |
| Mailing Address |
1108 W Pioneer Pkwy Ste 200 Arlington TX 76013-7627 |
| Practice Telephone | 8177044223 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2263 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
25MD00344400 | NJ | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 195 Us Highway 46, Suite #12, Totowa, NJ 075121833 | 9738378173 |
| Street Address |
1108 W PIONEER PKWY # 200 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76013-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760047153 | Interventional Partners LLC | Podiatrist | 3600 Matlock Rd Ste 104, Arlington, TX 76015-3679 | 2019-05-01 |
| 1508249558 | Scott Floyd | Podiatrist | 3030 Matlock Rd Ste 102, Arlington, TX 76015-2934 | 2015-07-08 |
| 1316104763 | Max Ribald Dpm, PC | Podiatrist | 801 Road To Six Flags W Ste 150, Arlington, TX 76012-2600 | 2008-05-21 |
| 1114051463 | Dharmesh Bhakta, Dpm, Pa | Podiatrist | 3050 S Center St Ste 140, Arlington, TX 76014 | 2007-03-16 |
| 1285652578 | Michael V Tran | Podiatrist | 629 Matlock Centre Cir, Arlington, TX 76015-2535 | 2006-07-17 |
| 1861435596 | Max Ribald | Podiatrist | 801 Road To Six Flags W #150, Arlington, TX 76012 | 2006-06-13 |
| 1740631548 | Robert Scott Dominguez | Podiatrist | 1186 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2016-06-23 |
| 1528441847 | Jacob Boyce Jasper | Podiatrist | 3050 S Center St Ste 140, Arlington, TX 76014 | 2015-07-06 |
| 1447632724 | Ashley Michelle Varner | Podiatrist | 801 Road To Six Flags W Ste 150, Arlington, TX 76012 | 2015-06-23 |
| 1609138411 | Jarna Rathod-bhatt | Podiatrist | 3600 Matlock Rd, Suite 104, Arlington, TX 76015-3679 | 2012-06-08 |
| Find all providers in ARLINGTON | ||||
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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.