DR. ENOTH DOUGWON KIM (NPI# 1518117324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518117324 |
| Entity Type | Individual |
| Full Name | DR. ENOTH DOUGWON KIM |
| Credential | DMD |
| Practice Address |
323 West Putnam Ave. Porterville CA 93257-3466 |
| Mailing Address |
305 East Center Ave. Visalia CA 93291-6331 |
| Practice Telephone | 5597845465 |
| Practice Fax Number | 5597840280 |
| Mailing Telephone | 5597374700 |
| Mailing Fax Number | 5597374782 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 57566 | CA | Dental Providers |
| Street Address |
323 WEST PUTNAM AVE. |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| 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 |
|---|---|---|---|---|
| 1033422548 | Western Dental Services, Inc. | Dentist | 1213 W Henderson Ave, Porterville, CA 93257-1454 | 2010-07-26 |
| 1417166935 | Stanford Lee Wolfe | Dentist | 350 N 2nd St, Porterville, CA 93257-3847 | 2007-05-21 |
| 1558481721 | Rene Herrera | Dentist | 141 E Putnam Ave, Porterville, CA 93257 | 2007-03-30 |
| 1811046600 | Steven Edward Lewis | Dentist | 140 N Villa St, Porterville, CA 93257-3218 | 2007-01-09 |
| 1073662458 | Mohamed A Gouda | Dentist | 827 W Henderson Ave, Porterville, CA 93257-1742 | 2007-01-09 |
| 1164514188 | Nicasio Sarabia Jr. | Dentist | 581 W Putnam Ave, Porterville, CA 93257-3260 | 2006-09-28 |
| 1770582991 | George M Wilson Dds Inc | Dentist | 380 W Putnam Ave, Porterville, CA 93257-3323 | 2005-07-19 |
| 1346898020 | James Chan | Dentist | 1213 W Henderson Ave, Porterville, CA 93257-1454 | 2019-08-27 |
| 1023491396 | Jarron Tawzer | Dentist | 821 W Morton Ave, Porterville, CA 93257-3131 | 2015-07-06 |
| 1144621236 | Mark Sampson Winslow II | Dentist | 365 Pearson Dr, Suite #2, Porterville, CA 93257-3360 | 2014-09-09 |
| Find all providers in PORTERVILLE | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
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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.