DR. MINWOO KIM (NPI# 1437610516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437610516 |
| Entity Type | Individual |
| Full Name | DR. MINWOO KIM |
| Credential | DDS |
| Practice Address |
4201 Central Ave Nw Ste F1 Albuquerque NM 87105-1669 |
| Mailing Address |
7270 Highway 2 Commerce City CO 80022-1723 |
| Practice Telephone | 5058437172 |
| Mailing Telephone | 3036698202 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DD5207 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240214 | Minwoo Kim | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-11-21 |
| 1003478942 | Minwoo Kim | Nurse Anesthetist, Certified Registered | 611 W Park St, Urbana, IL 61801-2529 | 2019-07-01 |
| Street Address |
4201 CENTRAL AVE NW STE F1 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629417902 | Jae Yang | Dentist | 4201 Central Ave Nw Ste F1, Albuquerque, NM 87105-1669 | 2013-06-19 |
| 1457976060 | Thao Kim Pham | Dentist | 4201 Central Ave Nw Ste F1, Albuquerque, NM 87105-1669 | 2020-06-09 |
| 1639535560 | Hyunjung Park | Dentist | 4201 Central Ave Nw Ste F1, Albuquerque, NM 87105-1669 | 2016-01-07 |
| 1104231752 | David Opack | Dentist | 4201 Central Ave Nw Ste F1, Albuquerque, NM 87105-1669 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| 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 |
|---|---|---|---|---|
| 1457959934 | Comfortable Dentistry 4u - Cottonwood, LLC | Dentist | 3613 Nm 528 Nw Ste D, Albuquerque, NM 87114-8918 | 2020-10-15 |
| 1932729506 | Brenda Concepcion Acosta | Dentist | Aegd-1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-23 |
| 1942833199 | Salud Dental Group Albuquerque | Dentist | 3803 Atrisco Dr Nw Ste D, Albuquerque, NM 87120-4958 | 2020-02-17 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1679050942 | Comfortable Dentistry 4u LLC | Dentist | 9204 Menaul Blvd Ne Ste 3, Albuquerque, NM 87112-2201 | 2018-07-19 |
| 1649756206 | Brandon Wade Terhune | Dentist | 7520 Montgomery Blvd Ne Bldg E12, Albuquerque, NM 87109-1586 | 2018-07-17 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1669967063 | Gabriele E Mccomas | Dentist | 5000 Menaul Boulevard, Suite B, Albuquerque, NM 87110-3046 | 2018-06-27 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1154838266 | Dr Barney W Carter Dmd PC | Dentist | 3900 Eubank Blvd Ne Ste 19, Albuquerque, NM 87111-3427 | 2018-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
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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.