EDWARD KIM (NPI# 1619302940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619302940 |
| Entity Type | Individual |
| Full Name | EDWARD KIM |
| Credential | DDS |
| Practice Address |
188 Longwood Ave Boston MA 02115-5819 |
| Mailing Address |
75 Saint Alphonsus St 910 Boston MA 02120-1676 |
| Practice Telephone | 6464642508 |
| Mailing Telephone | 6464642508 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DL12041 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497201701 | Edward Kim | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 Ste 2.230, Austin, TX 78701 | 2016-08-28 |
| 1700084886 | Edward S Kim | Dentist | 9110 Railroad Dr Ste 201, Manassas Park, VA 20111-7041 | 2007-07-10 |
| 1457567836 | Edward Tae Kim | General Practice | 658 N Black Horse Pk, Runnemede, NJ 08078 | 2007-05-15 |
| 1679619092 | Edward T Kim | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2007-01-30 |
| 1982779013 | Edward Yungjung Kim | Dentist | 5205 S. Durango Dr. #103, Las Vegas, NV 89113 | 2006-11-22 |
| 1992807366 | Edward S Kim | Dentist | 191 Hamburg Turnpike, Pompton Lakes, NJ 07442 | 2006-09-05 |
| 1346264595 | Edward H. Kim | Podiatrist | 1245 Wilshire Blvd Ste 202, Los Angeles, CA 90017-4810 | 2006-07-27 |
| 1952369548 | Edward Kim | Internal Medicine | 7 Community Dr, Buffalo, NY 14225-2523 | 2006-05-03 |
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1275538076 | Edward C Kim | Internal Medicine | 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 | 2005-06-17 |
| Street Address |
188 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664849 | Thomas R Flynn | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2005-10-27 |
| 1346857869 | Saad Almujel | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-09-29 |
| 1548878176 | Ionut Sebastian Viski | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1962010504 | Ankita Arunkumar Nigam | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-20 |
| 1013525708 | Min Jeong | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-19 |
| 1235747395 | Yujun Wang | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-15 |
| 1346868692 | Asmaa Faisal Bukhari | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-13 |
| 1003433160 | Nicha Tokavanich | Student in an Organized Health Care Education/Training Program | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-06 |
| 1134746464 | Justin Lewis Tomack | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-02 |
| 1144847526 | Morgan Celistan | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1194379180 | Chai Yoon Kim | Dentist | 50 Malden St Apt 106, Boston, MA 02118-2888 | 2019-07-28 |
| 1518520014 | Candid Care Services, Pllc | Dentist | 211 Newbury St, Boston, MA 02116-2570 | 2019-04-19 |
| 1104346584 | Stephen Reichheld Jr. | Dentist | 1 Nassau St Dept Of, Boston, MA 02111-1542 | 2017-06-26 |
| 1629513585 | Smilebar | Dentist | 303 Columbus Ave, Boston, MA 02116-5284 | 2017-01-03 |
| 1013310242 | Ella Osborn | Dentist | 268 Summer St, Boston, MA 02210 | 2014-10-02 |
| 1447694807 | Dotsmiles | Dentist | 126 Granite Ave, Boston, MA 02124-5801 | 2013-04-29 |
| 1265725501 | Tofool Alghanem | Dentist | 1 Kneeland Street 15 Floor, Orthodontic Department, Boston, MA 02111-1527 | 2011-05-19 |
| 1023328937 | Yuhe Lu | Dentist | 100 East Newton St. Rm 104, Boston, MA 02118 | 2010-10-13 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on EDWARD 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.