JUNGWON KIM (NPI# 1528378700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528378700 |
| Entity Type | Individual |
| Full Name | JUNGWON KIM |
| Credential | DDS |
| Practice Address |
16810 Meridian E Puyallup WA 98375-9604 |
| Mailing Address |
15420 79th Ave E Puyallup WA 98375-8460 |
| Practice Telephone | 2538485437 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
60735298 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649609447 | Jungwon Kim | Marriage & Family Therapist | 1200 W Lambert Rd Unit 25, La Habra, CA 90631-6624 | 2013-11-02 |
| 1205471919 | Jungwon Kim | Registered Nurse | 116 W 32nd St Fl 8, New York, NY 10001-3212 | 2019-11-18 |
| Street Address |
16810 MERIDIAN E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013174168 | Philip Werner Kaiser | Dentist | 16810 Meridian E, Suite J107, Puyallup, WA 98375-9604 | 2008-05-16 |
| 1437686920 | Bora Kim | Dentist | 16810 Meridian E, Puyallup, WA 98375-9604 | 2017-05-16 |
| 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 |
| 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 Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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 |
| 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 |
| 1437686920 | Bora Kim | Dentist | 16810 Meridian E, Puyallup, WA 98375-9604 | 2017-05-16 |
| 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 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on JUNGWON KIM.
| 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.