JI YEON KIM (NPI# 1689282477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689282477 |
| Entity Type | Individual |
| Full Name | JI YEON KIM |
| Credential | DMD |
| Practice Address |
1130 Old York Rd Abington PA 19001-3710 |
| Mailing Address |
2116 Chestnut St Unit 1206 Philadelphia PA 19103-4544 |
| Practice Telephone | 2072725793 |
| Mailing Telephone | 2072725793 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS042768 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194298414 | Ji Yeon Kim | Behavioral Analyst | 1450 N Tustin Ave, Santa Ana, CA 92705-8640 | 2019-01-09 |
| 1972967255 | Ji Yeon Kim | Pharmacist | 520 S Virgil Ave Ste 102, Los Angeles, CA 90020-1425 | 2016-04-12 |
| 1003011677 | Ji Yeon Kim | Pathology | 11668 Sherman Way, Admin, North Hollywood, CA 91605-5831 | 2007-06-15 |
| Street Address |
1130 OLD YORK RD |
| City | ABINGTON |
| State | PA |
| Zip Code | 19001-3710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952822249 | Rustam Shukurov | Dentist | 1130 Old York Rd, Abington, PA 19001-3710 | 2017-06-28 |
| 1932757473 | Priyaben R Patel | Dentist | 1130 Old York Rd, Abington, PA 19001-3710 | 2019-08-28 |
| 1194386235 | Ronak Nandkishor Patel | Dentist | 1130 Old York Rd, Abington, PA 19001-3710 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671254 | Mohammed D Assali | Surgery | 1200 Old York Road Department of Surgery/suite 604, Abington, PA 19001 | 2018-09-01 |
| 1851886303 | Child and Family Focus, Inc. | Community/Behavioral Health | 2001 Old Welsh Road, Abington, PA 19001 | 2018-06-27 |
| 1376064394 | Rachel Cockerham | Registered Nurse | 1355 Old York Road, Suite 101, Abington, PA 19001 | 2017-06-29 |
| 1598141715 | Thomas Roarty | Nurse Practitioner | 1369 Old York Road, Abington, PA 19001 | 2015-08-11 |
| 1205249448 | Wendy Lorisme | Social Worker | 2223 Florey Ln Apt E3, Abington, PA 19001 | 2014-06-05 |
| 1417376682 | Nabil Zeineddine | Internal Medicine | 1235 Old York Rd Ste 220, Abington, PA 19001 | 2014-04-15 |
| 1578868782 | Phyllis O. Paul | Family Medicine | 1710 Woodland Rd., Abington, PA 19001 | 2011-01-19 |
| 1659674497 | Gerson S Paul | Obstetrics & Gynecology | 1710 Woodland Road, Abington, PA 19001 | 2010-12-17 |
| 1205145596 | Syreeta Tisha Mctavous | Dentist | 1200 Old York Rd., Arches Building, Abington, PA 19001 | 2010-10-04 |
| 1538481635 | Equipsource | Durable Medical Equipment & Medical Supplies | 1302 Easton Road, Suite 1005, Abington, PA 19001 | 2010-02-17 |
| Find all providers in zip 19001 | ||||
| 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 |
|---|---|---|---|---|
| 1023657061 | Montco Dental Associates, Pllc | Dentist | 1919 Susquehanna Rd, Abington, PA 19001-4513 | 2019-12-21 |
| 1952822249 | Rustam Shukurov | Dentist | 1130 Old York Rd, Abington, PA 19001-3710 | 2017-06-28 |
| 1295992444 | Robert Henry Carber | Dentist | 1021 Old York Rd, Abington, PA 19001-4626 | 2008-05-16 |
| 1083887111 | Lance Lorch | Dentist | 1904 Old York Rd, Abington, PA 19001-1001 | 2008-04-09 |
| 1649394750 | Jay Lynn Feeney | Dentist | 469 Washington St, Abington, MA 02351-2417 | 2007-03-16 |
| 1679603609 | Andrew B Junkin | Dentist | 1847 Old York Rd, Abington, PA 19001-1125 | 2007-03-07 |
| 1043224777 | Mona N. Patel | Dentist | 1919 Susquehanna Road, Abington, PA 19001 | 2006-07-28 |
| 1194386235 | Ronak Nandkishor Patel | Dentist | 1130 Old York Rd, Abington, PA 19001-3710 | 2019-06-27 |
| 1821583865 | Maggie Rosenberger | Dentist | 1200 Old York Rd, Abington, PA 19001-3788 | 2018-06-22 |
| 1821542051 | Matthew Garbin | Dentist | 1200 Old York Rd, Abington, PA 19001-3720 | 2016-08-04 |
| Find all providers in ABINGTON | ||||
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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.