SARAH KIM (NPI# 1740592948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740592948 |
| Entity Type | Individual |
| Full Name | SARAH KIM |
| Credential | DDS |
| Practice Address |
636 Broadway St Ne Minneapolis MN 55413-2164 |
| Practice Telephone | 6127461530 |
| Practice Fax Number | 6127461531 |
| Mailing Telephone | 6127461530 |
| Mailing Fax Number | 6127461531 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D12846 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7532 Brooklyn Blvd, Brooklyn Park, MN 554433101 | 7635601555 | 7635601625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000430 | Sarah Kim | Pharmacist | 12745 Galveston Ct, Manassas, VA 20112-8675 | 2020-10-15 |
| 1457969313 | Sarah Kim | Technician/Technologist | 1440 Kapiolani Blvd Ste 1212, Honolulu, HI 96814-3618 | 2020-07-16 |
| 1063038107 | Sarah Kim | Physician Assistant | 6598 Eucalyptus Ave, Chino, CA 91710-0115 | 2020-06-24 |
| 1508495672 | Sarah Y Kim | Student in an Organized Health Care Education/Training Program | 13105 40th Rd Apt Ph3c, Flushing, NY 11354-5188 | 2020-04-02 |
| 1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
| 1205489358 | Sarah Kim | Acupuncturist | 25 Amelia Dr, Old Tappan, NJ 07675-6913 | 2019-07-18 |
| 1619367240 | Sarah Kim | Pharmacy Technician | 10315 Malcolm Cir Apt E, Cockeysville, MD 21030-3999 | 2015-02-03 |
| 1902225964 | Sarah Kim | Pharmacist | 3500 W 6th St Ste 120, Los Angeles, CA 90020-5801 | 2014-04-07 |
| 1306278346 | Sarah Y Kim | Optometrist | 501 N Rte 17, Paramus, NJ 07652-3000 | 2013-08-01 |
| 1659618031 | Sarah Young Kim | Optometrist | 4027 Macpheadris Way, El Dorado Hills, CA 95762-7541 | 2013-01-06 |
| Street Address |
636 BROADWAY ST NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225193741 | Azar Hemmaty | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2150 | 2006-12-26 |
| 1568074607 | Abdulkadir Egeh | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-08-19 |
| 1568071140 | Alyson Farley | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2020-07-29 |
| 1558835652 | Sara Ann Nelson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2019-01-11 |
| 1164902847 | Melissa Jo Casper | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2151 | 2018-08-21 |
| 1356836761 | Megha Harenkumar Agrawal | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-06-27 |
| 1518459072 | Sara M Smith | Dentist | 636 Broadway St Ne, Minneapolis, MN 55413 | 2018-05-31 |
| 1073013322 | Nicole Mathew | Dental Therapist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-13 |
| 1447759261 | Vanessa Anderson | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-02-07 |
| 1285141515 | Sylvia Romosz | Dental Hygienist | 636 Broadway St Ne, Minneapolis, MN 55413-2164 | 2018-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| 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 |
|---|---|---|---|---|
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1871150417 | Muktar Farah | Dentist | 115 Broadway St Ne, Minneapolis, MN 55413-1805 | 2019-05-20 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1811483795 | Minnesota Durable Medical Equipment LLC | Dentist | 15600 36th Ave N Ste 270, Minneapolis, MN 55446-3372 | 2018-07-03 |
| 1871010165 | Mayank Shrivastava | Dentist | 515 Delaware St Se # 6-320, Minneapolis, MN 55455-0357 | 2017-08-28 |
| 1659808079 | Christopher David Carvalho | Dentist | 515 Delaware St Se Fl 7, Minneapolis, MN 55455-0357 | 2017-05-16 |
| 1821449133 | Yannie Chea | Dentist | 616 Washington Ave Se Apt 213, Minneapolis, MN 55414-2998 | 2016-06-28 |
| 1245688969 | Daniel Jabs | Dentist | 7-368 Moos Tower, 515 Delaware St Se, Minneapolis, MN 55455 | 2016-06-03 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
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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.