DR. AMY SUNG-OK KIM (NPI# 1578759254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578759254 |
| Entity Type | Individual |
| Full Name | DR. AMY SUNG-OK KIM |
| Credential | D.D.S. |
| Practice Address |
619 Ridgewood Ct Ann Arbor MI 48103-6515 |
| Practice Telephone | 7343328763 |
| Mailing Telephone | 7343328763 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901019023 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083236574 | Amy Kim | Counselor | 1644 Blushing Ct, Rochester Hills, MI 48307-3584 | 2020-05-07 |
| 1942846050 | Amy Kim | Physician Assistant | 450 Sutter St Rm 1404, San Francisco, CA 94108-4003 | 2019-11-24 |
| 1982256525 | Amy Kim | Case Manager/Care Coordinator | 2101 Lake Ave, Baltimore, MD 21218-3129 | 2019-07-14 |
| 1679872899 | Amy Elizabeth Kim | Family Medicine | 9520 Ormsby Station Rd, Suite 175, Louisville, KY 40223-5017 | 2011-03-28 |
| 1427231216 | Amy K Kim | Internal Medicine | 720 Rutland Ave Ste 918, Baltimore, MD 21205-2109 | 2007-12-14 |
| 1518594647 | Amy Jung In Kim | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-03-26 |
| 1619418035 | Amy Youyeun Kim | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Tpke, Nassau Health Care Corporation, East Meadow, NY 11554-1859 | 2017-03-17 |
| 1780033399 | Amy Kim | Dentist | 5 Federal St, Weymouth, MA 02188-2108 | 2016-06-06 |
| 1871947192 | Amy Kim | Psychologist | 13101 W Washington Blvd, 230, Los Angeles, CA 90066-5131 | 2016-04-22 |
| Street Address |
619 RIDGEWOOD CT |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| 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 |
|---|---|---|---|---|
| 1023635232 | Mamatha Valishetty | Dentist | 2776 Sagebrush Cir Apt 106, Ann Arbor, MI 48103-8776 | 2020-07-03 |
| 1144846171 | Leah Baldinger | Dentist | 1500 E Medical Center Dr Spc 5222, Ann Arbor, MI 48109-5222 | 2020-06-25 |
| 1700446879 | Nathalia Paiva De Andrade | Dentist | 1011 N University Ave # 1324, Ann Arbor, MI 48109-1078 | 2019-06-19 |
| 1801456173 | Suzette Damarlie Laing | Dentist | 1011 N University Ave Rm 1324, Ann Arbor, MI 48109-1078 | 2019-06-18 |
| 1851959241 | Catherine Haviland | Dentist | 1011 N University Ave Spc 1078, Ann Arbor, MI 48109-1078 | 2019-05-31 |
| 1801372008 | Joseph Fazzio | Dentist | 465 Harbor Way, Ann Arbor, MI 48103-6666 | 2018-07-11 |
| 1255824371 | Sergio Fabian Calleja Blanco | Dentist | 917 S Forest Ave, Ann Arbor, MI 48104-3542 | 2018-06-13 |
| 1669965257 | Tarek Nabil Metwally | Dentist | Michigan Medicine, University of Michigan Dept of Omfs, 1515 Hospital Dr. G1218 Towsley, Spc 5222, Ann Arbor, MI 48109-5222 | 2018-06-08 |
| 1326551011 | Ali Bushahri | Dentist | 1011 North University, Ann Arbor, MI 48109-1078 | 2017-11-16 |
| 1689193278 | Ennis Malik Bedair | Dentist | 1500 E. Medical Center Dr., Med Inn C213a, Ann Arbor, MI 48109 | 2017-09-14 |
| Find all providers in ANN ARBOR | ||||
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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.