DR. BORA KIM


Address: 16810 Meridian E, Puyallup, WA 98375-9604
Phone: 4234008923

DR. BORA KIM (NPI# 1437686920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437686920
Entity Type Individual
Full Name DR. BORA KIM
Other Name DR. N/A N/A N/A
Credential DMD
Practice Address 16810 Meridian E
Puyallup
WA 98375-9604
Mailing Address 375 E 2nd St Apt 215
Los Angeles
CA 90012-4258
Practice Telephone 4234008923
Enumeration Date 2017-05-16
Last Update Date 2018-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
DE60876116 WA Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1437686920 01

Other Providers BORA KIM

NPI Name Taxonomy Address Enumeration
1427467380 Bora Kim Dental Hygienist 3441 Se Ironwood Ave, Hillsboro, OR 97123-8543 2014-08-05
1336305390 Bora V Kim Allergy & Immunology 210-33 26th Avenue Ground Level, Bayside, NY 11360-5908 2008-07-30
1023577285 Bora Kim Student in an Organized Health Care Education/Training Program 401 Parnassus Ave, San Francisco, CA 94143-2211 2019-03-18
1265904700 Bora Kim Occupational Therapist 835 Herkimer St, Brooklyn, NY 11233-3031 2018-12-21
1871997122 Bora Kim Pharmacist 266 S Harvard Blvd, Los Angeles, CA 90004-4372 2014-10-15
1467873620 Bora Kim Behavioral Analyst 4 Mall Ct Unit A, Savannah, GA 31406-3666 2013-12-13
1164586566 Bora Kim Internal Medicine 2901 N Ventura Rd Ste 120, Oxnard, CA 93036-1126 2006-12-20

Office Location

Street Address 16810 MERIDIAN E
City PUYALLUP
State WA
Zip Code 98375-9604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013174168 Philip Werner Kaiser Dentist 16810 Meridian E, Suite J107, Puyallup, WA 98375-9604 2008-05-16
1497177042 Brian Polillo Dentist 16810 Meridian E, Suite J107, Puyallup, WA 98375-9604 2014-01-16
1396044517 Melisa Susanto Dentist 16810 Meridian E, Suite J104, Puyallup, WA 98375-9604 2011-03-28
1528378700 Jungwon Kim Dentist 16810 Meridian E, Puyallup, WA 98375-9604 2010-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673817 Cheryl Dann Registered Nurse 7224 Pacific Highway E, Milton, WA 98375 2019-11-07
1326554601 Jasmanpreet Kaur Sidhu Nurse's Aide 17003 83rd Ave Cte, Puyallup, WA 98375 2017-12-21
1295257137 Rafael Martin Morones IIi Registered Nurse 17802 87th Ave E, Puyallup, WA 98375 2017-07-12
1467990556 Tessa D Parker Massage Therapist 17528 Meridian E Suite 207, Puyallup, WA 98375 2017-02-08
1144674326 June Park Social Worker 9414 185th Street Ct E, Puyallup, WA 98375 2016-04-14
1417384348 Washington Dental Corporation, PC Dentist 16810 Meridian East Suite J107, Puyallup, WA 98375 2013-10-10
1861825663 L&t Chinese Medicine LLC Acupuncturist 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 2013-08-15
1508110081 Jennifer Gillings Speech-Language Pathologist 17418 74th Ave E, Puyallup, WA 98375 2012-11-05
1275887267 Andrew Nelson Smith Pharmacist 14308 Meridian Ave E., Puyallup, WA 98375 2012-10-30
1538440714 Zorawar Singh Dentist 16810 Meridian E Suite J107, Puyallup, CA 98375 2011-09-01
Find all providers in zip 98375

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619396652 Clara W Brannan Dds, Ps Dentist 11102 Sunrise Blvd E Ste 108, Puyallup, WA 98374-8846 2014-04-07
1760482392 Stuart G Hersey Dentist 11201 88th Ave E Suite 120, Puyallup, WA 98373 2005-07-26
1568997351 Katherine Romelfanger Dentist 9317 113th St E, Suite A, Puyallup, WA 98373-3876 2017-04-29
1891158861 Kids Choice Dental Puyallup, LLC Dentist 9317 113th St E, Suite A, Puyallup, WA 98373-3876 2016-03-29
1114324795 Washington Dental Corporation PC Dentist 16810 Meridian E Ste J107, Puyallup, WA 98375-9604 2014-11-26
1528378700 Jungwon Kim Dentist 16810 Meridian E, Puyallup, WA 98375-9604 2010-10-20
1174791529 Ellen Polsky Dentist 9317 113th St E, Suite A, Puyallup, WA 98373 2008-02-19
1043346851 Kevin H Sakai Dentist 311 River Rd, Suite 201, Puyallup, WA 98371-4113 2007-02-26
1821159047 South Hill Childrens Dentistry Dentist 11102 Sunrise Blvd E, Suite 108, Puyallup, WA 98374-8846 2006-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740807890 Plateau Kids Dentistry, LLC Dentist 2912 228th Ave Se Ste A, Sammamish, WA 98075-9305 2020-07-05
1528603503 Ellen Polsky Dds and Bobby Virk Dmd, Ps Dentist 34704 11th Pl S Ste 101, Federal Way, WA 98003-8730 2019-11-13
1942843552 Laura Stewart Dds Pllc Dentist 6821 Ne 181st St, Kenmore, WA 98028-5034 2019-10-26
1639736119 Southcenter Children's Dentistry Dentist 411 Strander Blvd Ste 303, Tukwila, WA 98188-2924 2019-05-21
1770147001 Kaitlin Neste Pllc Dentist 360 Tormey Ln Ne Ste 198, Bainbridge Island, WA 98110-1990 2019-04-22
1124511126 Roger Lucas, P.s. Dentist 3806 116th St. Ne, Marysville, WA 98271 2018-06-13
1497248017 Jinju Song Dmd Pllc Dentist 9707 Ne 119th Way, Kirkland, WA 98034-8955 2018-06-08
1861999864 Peter Douglas Dentist 32105 1st Ave S Ste B3, Federal Way, WA 98003-5719 2018-04-07
1669994042 Annikka Louise Frostad-thomas Dentist 700 Nw Gilman Blvd # E412, Issaquah, WA 98027-5395 2017-07-07
1831624402 Minh Dau, Dds and Raymond Park, Dds Pllc Dentist 3105 Alderwood Mall Blvd, Suite 117, Lynnwood, WA 98036-4703 2017-04-20
Find all providers with the same taxonomy

Competitor

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City PUYALLUP
Zip Code 98375

Improve Information

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Dataset Information

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.

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