JD KIM MD, DDS, INC (NPI# 1598044356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598044356 |
| Entity Type | Organization |
| Organization Name | JD KIM MD, DDS, INC |
| Practice Address |
4000 Tyler St Ste A Riverside CA 92503-3458 |
| Mailing Address |
20760 Paseo De La Rambla Yorba Linda CA 92887 |
| Practice Telephone | 9516874460 |
| Practice Fax Number | 9516877448 |
| Mailing Telephone | 3107135159 |
| Mailing Fax Number | 9516877448 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DR. JEONG DOO KIM (PRESIDENT) |
| Authorized Official Telephone | 3107135159 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
50622 | CA | Dental Providers |
| Street Address |
4000 TYLER ST STE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578778825 | Jeong Doo Kim | Dentist | 4000 Tyler St Ste A, Riverside, CA 92503-3458 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558637918 | Dale E. Stringer D.d.s., Inc. | Dentist | 6860 Brockton Avenue, Suite 1, Riverside, CA 92506-3812 | 2012-03-29 |
| 1578778825 | Jeong Doo Kim | Dentist | 4000 Tyler St Ste A, Riverside, CA 92503-3458 | 2007-05-11 |
| 1548369069 | Phuong C. Huynh, Dds, Inc. | Dentist | 10683 Magnolia Ave Ste D, Riverside, CA 92505-1893 | 2006-09-21 |
| 1154336501 | Donald L. Cram, D.d.s., Inc | Dentist | 3733 Arlington Ave Ste A, Suite A, Riverside, CA 92506-2651 | 2006-07-31 |
| 1881714129 | Phuong C Huynh | Dentist | 10683 Magnolia Ave Ste D, Riverside, CA 92505-1893 | 2007-03-30 |
| 1689747784 | Walter F Bloes | Dentist | 1171 E Putnam Ave, Riverside, CT 06878-1426 | 2006-11-16 |
| 1598771933 | Donald L Cram | Dentist | 3733 Arlington Ave Ste A, Riverside, CA 92506-2651 | 2006-07-31 |
| 1255358172 | Grant Jong | Dentist | 6180 Brockton Ave, Suite 201, Riverside, CA 92506-2228 | 2006-07-16 |
| 1861440836 | Dale E. Stringer | Dentist | 6860 Brockton Ave, Suite 1, Riverside, CA 92506-3816 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
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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.