DR. PAUL KIM (NPI# 1477885960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477885960 |
| Entity Type | Individual |
| Full Name | DR. PAUL KIM |
| Credential | DDS |
| Practice Address |
6090 Redwood Blvd Suite D Novato CA 94945-4569 |
| Practice Telephone | 4157983182 |
| Mailing Telephone | 4157983182 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2011-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
59137 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427529973 | Paul Kim | Registered Nurse | 17314 Vickie Ave, Cerritos, CA 90703-1354 | 2018-12-10 |
| 1538600119 | Paul Kim | Physical Therapy Assistant | 1378 Willow Oak Rd, Castle Rock, CO 80104-8566 | 2017-03-15 |
| 1619417490 | Paul Kim | Pharmacist | 765 Limekiln Pike Unit 26, Glenside, PA 19038-3930 | 2017-02-28 |
| 1568919686 | Paul Kim | Dentist | Hq, 618th Dental Company (as), Usa, Health Dental Activity-korea, Seoul, APO AP 96205-5652 | 2016-09-07 |
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1336560234 | Paul Kim | Dentist | 809 N Houk Rd, Delaware, OH 43015-4418 | 2013-12-18 |
| 1841633138 | Paul Taehoon Kim | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Ml 0558, Univ of Cincinnati Medical Center Department of Surgery, Cincinnati, OH 45267-0588 | 2013-04-17 |
| 1174806525 | Paul Joon Kim | Dentist | 514 Fulton Ave, Hempstead, NY 11550-4364 | 2011-09-22 |
| 1275822777 | Paul Moonwhan Kim | Psychiatry & Neurology | Meyer 1-104, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2011-04-05 |
| 1659524304 | Paul Kim | Family Medicine | 788 East Highland Ave, Clermont, FL 34711 | 2008-10-28 |
| Street Address |
6090 REDWOOD BLVD SUITE D |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295485 | Ryan Wesley Coe | Dental Hygienist | 6090 Redwood Blvd, Novato, CA 94945-4569 | 2018-11-28 |
| 1881057115 | Marin Community Clinic | Clinic/Center | 6090 Redwood Blvd, Novato, CA 94945-4569 | 2016-04-04 |
| 1912220781 | Marin Community Clinic | Clinic/Center | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311935 | Sara Kwong | Dentist | 1805 Novato Blvd Ste 4, Novato, CA 94947-2934 | 2018-06-25 |
| 1609161652 | Kulyk Dental Corporation | Dentist | 1744 Novato Blvd Ste 110, Novato, CA 94947-3092 | 2011-06-17 |
| 1619194834 | Jonathan Maclean | Dentist | 208 Vintage Way, Suite K23, Novato, CA 94945-5014 | 2007-04-19 |
| 1083732499 | M Paul Schafer | Dentist | 896 Sutro Ave, Novato, CA 94947-2040 | 2007-03-26 |
| 1265558332 | Norman Ivan Elloway | Dentist | 1316 Grant Ave, Novato, CA 94945-3100 | 2007-03-21 |
| 1073650578 | Matthew Menasco | Dentist | 1615 Hill Rd Ste A, Novato, CA 94947-4338 | 2007-01-31 |
| 1295898245 | Theodore Rist Jr. | Dentist | 1730 Novato Blvd Ste F, Novato, CA 94947-3048 | 2006-12-19 |
| 1396812731 | Clayton Joseph Perry | Dentist | 7460 Redwood Blvd, Novato, CA 94945-2457 | 2006-11-29 |
| 1831273143 | Myron Lee Donesky | Dentist | 7250 Redwood Blvd, Suite 210, Novato, CA 94945-3268 | 2006-10-24 |
| 1154405355 | Steve L Mcconnell | Dentist | 1730 Novato Blvd Ste A, Novato, CA 94947-3048 | 2006-10-24 |
| Find all providers in NOVATO | ||||
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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.