SIYONG KIM (NPI# 1639554868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639554868 |
| Entity Type | Individual |
| Full Name | SIYONG KIM |
| Credential | D.D.S |
| Practice Address |
1615 Truemper St San Antonio TX 78236 |
| Mailing Address |
1615 Truemper St San Antonio TX 78236-5511 |
| Practice Telephone | 2102920123 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 6726 | OK | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6726 | OK | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 6726 | OK | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Truemper St, San Antonio, TX 78236 | 2102920123 |
| Street Address |
1615 TRUEMPER ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013136 | Michael William Cruciger | Dentist | 1615 Truemper St, San Antonio, TX 78236-5511 | 2020-08-12 |
| 1154861227 | Michael Zachary Lamb | Dentist | 1615 Truemper St, San Antonio, TX 78236-5511 | 2017-03-08 |
| 1679027205 | Sharon Aradine | Dentist | 1615 Truemper St, San Antonio, TX 78236 | 2016-08-11 |
| 1326421546 | Margarita Rosa Lanternier | Dentist | 1615 Truemper St, San Antonio, TX 78236 | 2015-07-07 |
| 1902170228 | Robert Lyle Hilton | Dentist | 1615 Truemper St, San Antonio, TX 78236-5511 | 2012-03-05 |
| 1447283718 | Jeff Breck Jorden | Dentist | 1615 Truemper St, Lackland Afb, San Antonio, TX 78239 | 2006-07-09 |
| 1023003183 | Teresa Ellen Reeves | Dentist | 1615 Truemper St, San Antonio, TX 78236-5511 | 2005-09-15 |
| 1710972898 | Clayton Gray Hicks Sr. | Dentist | 1615 Truemper St, San Antonio, TX 78236-5511 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| 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 |
|---|---|---|---|---|
| 1306452354 | Cesar Oscar Gonzalez | Dentist | 20122 Stone Oak Pkwy Ste 101, San Antonio, TX 78258-7041 | 2020-09-16 |
| 1760093397 | Grace Jie Zhang | Dentist | 11535 West Ave # A, San Antonio, TX 78213-1343 | 2020-08-17 |
| 1104436831 | Tian Meng | Dentist | 8110 W Loop 1604 N, San Antonio, TX 78254-2104 | 2020-08-07 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1972133767 | Evodent Dental Pllc | Dentist | 18838 Stone Oak Pkwy Ste 102, San Antonio, TX 78258-4179 | 2020-01-21 |
| 1659901502 | Dental Care of San Antonio, Pllc | Dentist | 115 N Loop 1604 E Ste 1104, San Antonio, TX 78232-1399 | 2020-01-20 |
| 1437792041 | Precision Smile Structure Culebra Pllc | Dentist | 6626 W Loop 1604 N Ste 216, San Antonio, TX 78254-6602 | 2019-10-26 |
| 1013558998 | Great White Dental Pllc | Dentist | 238 Sw Military Dr Ste 104, San Antonio, TX 78221-1657 | 2019-10-02 |
| 1376192443 | Deborah R. Keepers Dds Pa | Dentist | 11309 Bandera Rd Ste 101, San Antonio, TX 78250-2602 | 2019-09-10 |
| 1487202750 | Western Dental Care | Dentist | 2347 Nw Military Hwy Ste 101, San Antonio, TX 78231-2502 | 2019-08-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78236 |
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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.