MR. YONG EUL KIM (NPI# 1477542660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477542660 |
| Entity Type | Individual |
| Full Name | MR. YONG EUL KIM |
| Credential | D.D.S.,M.S. |
| Practice Address |
482 Lancaster Dr Ne Salem OR 97301-4784 |
| Practice Telephone | 5035887611 |
| Practice Fax Number | 5035887551 |
| Mailing Telephone | 5035887611 |
| Mailing Fax Number | 5035887551 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D7546 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982095766 | Yong Lan Kim | Acupuncturist | 3044 W 7th St, Los Angeles, CA 90005-1452 | 2015-02-14 |
| 1134480684 | Yong Kim | Dentist | 11 The Boulvevard Street, Suite 1 Level 2, Strathfield, NSW 2135 | 2012-05-31 |
| 1265684161 | Yong Soo Kim | Dentist | 618th Dental Company Unit#15653, Camp Red Cloud, Apo, AP 96258-5653 | 2008-10-22 |
| 1205000692 | Yong Sung Kim | Acupuncturist | 249 E. Beverly Blvd., #b, Montebello, CA 90640-4752 | 2008-04-16 |
| 1265604433 | Yong Hun Kim | Acupuncturist | 998 E El Camino Real Ste 202, Sunnyvale, CA 94087-7913 | 2008-03-28 |
| 1720256076 | Yong Mo Kim | Pharmacist | 1797 Lexington Ave (pharmacy), New York, NY 10029 | 2008-02-20 |
| 1588844971 | Yong Kee Kim | Acupuncturist | 20314a Norwalk Blvd, Lakewood, CA 90715-1539 | 2007-11-14 |
| 1316127533 | Yong Hyun Kim | Dentist | 6525-c Frontier Dr., Springfield, VA 22150 | 2007-11-05 |
| 1356535124 | Yong Kyu Kim | Chiropractor | 5453 N Macarthur Blvd, Irving, TX 75038-3104 | 2007-09-05 |
| 1831312644 | Yong Yul Kim | Dentist | 3100 W 8th St, Suite 105, Los Angeles, CA 90005-1978 | 2007-04-10 |
| Street Address |
482 LANCASTER DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336457829 | Lee Ghorbanian | General Acute Care Hospital | 482 Lancaster Dr Ne, Salem, OR 97301-4784 | 2010-09-17 |
| 1497972798 | Dr. Vonny Ngantung | Dentist | 482 Lancaster Dr Ne, Salem, OR 97301-4784 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396134896 | Viktoria P. Talebian Dmd PC | Dentist | 128 Highland Avenue, Suite #1, Salem, MA 01970 | 2015-01-21 |
| 1861732927 | Reid Michael Amborn | Dentist | 1810 E Nob Hill St Se, Salem, OR 97302-5238 | 2013-02-26 |
| 1053605246 | Cole R Johnson | Dentist | 2755 Commercial St Se Ste 200, Salem, OR 97302-4991 | 2011-06-05 |
| 1457675738 | Thomas Orthodontics | Dentist | 424 State Road 198, Salem, UT 84653-4605 | 2010-03-16 |
| 1801012240 | Frank R Bailey Ddd Inc | Dentist | 2384 Southeast Blvd, Salem, OH 44460-3418 | 2007-04-17 |
| 1508904046 | Richard Horne Tate | Dentist | 701 S College Ave, Salem, VA 24153-5167 | 2007-02-04 |
| 1366518672 | Mcdonald Orthodontics | Dentist | 1855 West Nob Hill St Se, Suite 300, Salem, OR 97302 | 2006-11-28 |
| 1750455325 | Richard S Teel | Dentist | 1460 Commercial St Se, Salem, OR 97302-4308 | 2006-11-17 |
| 1922170208 | Earl Edmondson Gilder | Dentist | 3940 Lancaster Dr Ne, Salem, OR 97305-1450 | 2006-11-14 |
| 1013020031 | Viktoria Talebian | Dentist | 128 Highland Ave # 1, Salem, MA 01970-2724 | 2006-08-16 |
| Find all providers in SALEM | ||||
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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.