JOHN V KIM DDS PC (NPI# 1578628269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578628269 |
| Entity Type | Organization |
| Organization Name | JOHN V KIM DDS PC |
| Practice Address |
438 Theodore St Loves Park IL 61111-4056 |
| Practice Telephone | 8156337933 |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | JOHN KIM (PRESIDENT) |
| Authorized Official Telephone | 8156337933 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
438 THEODORE ST |
| City | LOVES PARK |
| State | IL |
| Zip Code | 61111-4056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316111248 | John Kim | Dentist | 438 Theodore St, Loves Park, IL 61111-4056 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
| 1003476425 | Costco Wholesale Corporation | Pharmacy | 5000 Stadium Drive, Loves Park, IL 61111 | 2019-06-18 |
| 1427541077 | Ronit Golan | Physical Therapist | 4401 Peak Dr Ste 1, Loves Park, IL 61111 | 2018-06-08 |
| 1598049025 | Sara Debelak | Developmental Therapist | 7225 Golden Eagle Drive, Loves Park, IL 61111 | 2011-10-03 |
| 1083906382 | Gagandeep Goyal | Anesthesiology | 5504 N 2nd St, Loves Park, IL 61111 | 2011-05-05 |
| 1124354261 | Asap Transport, LLC | Taxi | 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 | 2009-10-25 |
| 1235212275 | Roger H Hill | Optometrist | 4301 N Mulford Rd, Loves Park, IL 61111 | 2006-10-23 |
| 1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
| 1629099627 | Lisa A. Breisch | Counselor | Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 | 2006-07-22 |
| 1386670529 | Joseph L Digirolamo | Chiropractor | 116 East Riverside Blvd, Loves Park, IL 61111 | 2006-06-22 |
| Find all providers in zip 61111 | ||||
| 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 |
|---|---|---|---|---|
| 1528378924 | Mark J Dargene | Dentist | 5001 N 2nd St, Loves Park, IL 61111-5808 | 2010-10-19 |
| 1891910451 | Vincent Zammuto Dds Ltd | Dentist | 4001 N Mulford Rd, Loves Park, IL 61111-6949 | 2007-04-17 |
| 1407982564 | Richard Joseph Bischoff | Dentist | 6726 Commonwealth Dr, Loves Park, IL 61111-8625 | 2007-02-25 |
| 1093877797 | Scott Samuel Oren | Dentist | 5124 N 2nd St, Loves Park, IL 61111-5002 | 2006-12-16 |
| 1326119280 | Steven D Pooley | Dentist | 7318 N Alpine Rd, Loves Park, IL 61111-3902 | 2006-11-13 |
| 1437229291 | Joseph P Zammuto | Dentist | 2028 E Riverside Blvd, Suite 200, Loves Park, IL 61111-4804 | 2006-11-09 |
| 1508948217 | Phil J. Herlihey | Dentist | 2004 E Riverside Blvd, Loves Park, IL 61111-4856 | 2006-10-20 |
| 1679516603 | Steven L. Crain | Dentist | 6508 E Riverside Blvd, Loves Park, IL 61111-4424 | 2006-06-14 |
| 1497315147 | Katherine F. Stewart D.d.s, L.l.c | Dentist | 6508 E Riverside Blvd, Loves Park, IL 61111-4424 | 2019-06-15 |
| 1477906345 | Joshua Hermanson | Dentist | 2028 E Riverside Blvd, Suite 210, Loves Park, IL 61111-4804 | 2016-07-15 |
| Find all providers in LOVES PARK | ||||
| City | LOVES PARK |
| Zip Code | 61111 |
Please comment or provide details below to improve the information on JOHN V KIM DDS PC.
| 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.