DR. KELLY HEEJUNG KIM (NPI# 1760816607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760816607 |
| Entity Type | Individual |
| Full Name | DR. KELLY HEEJUNG KIM |
| Credential | D.D.S. |
| Practice Address |
26742 E. University Dr. Building 200, Suite 220 Aubrey TX 76227 |
| Mailing Address |
15517 Bryant Park Ave Prosper TX 75078-1711 |
| Practice Telephone | 9728451234 |
| Practice Fax Number | 9728451212 |
| Mailing Telephone | 6823084015 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
29161 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 E Main St, Grand Prairie, TX 75050 | 9723144867 | |
| 26742 E. University Dr., Building 200, Suite 220, Little Elm, TN 75068 | 9728451234 | 9728451212 |
| 4229 E Lancaster Ave, Ft Worth, TX 761033222 | 8174130712 | |
| 5404 Preston Rd Ste 108, Frisco, TX 750347471 | 9729639104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987790 | Kelly Kim | Counselor | 329 Eucalyptus Dr Apt C, El Segundo, CA 90245-4252 | 2019-05-18 |
| 1750692505 | Kelly Kyunghee Kim | Occupational Therapist | 3237 34th St, Astoria, NY 11106-1801 | 2010-06-27 |
| 1861724403 | Kelly Kim | Pharmacist | 272 Shadow Mountain Dr, Apt 41, El Paso, TX 79912-4756 | 2010-02-08 |
| 1255959904 | Kelly Marie Kim | Pharmacist | 5125 Jonestown Rd, Harrisburg, PA 17112-2990 | 2020-07-09 |
| 1447882592 | Kelly Baek Kim | Occupational Therapy Assistant | 7320 Firestone Blvd Ste 105, Downey, CA 90241-4159 | 2020-02-06 |
| 1558845487 | Kelly Anne Kim | Nurse Practitioner | 1975 4th St, San Francisco, CA 94143-2351 | 2018-09-17 |
| 1285031427 | Kelly Kim | Pharmacist | 6301 York Rd, Baltimore, MD 21212-2636 | 2014-12-03 |
| 1053625715 | Kelly Yeon Su Kim | Dentist | 30001 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1723 | 2010-08-04 |
| 1104065523 | Kelly Eunjoo Kim | Acupuncturist | 280 Newport Center Dr, Suite 200, Newport Beach, CA 92660-7526 | 2009-02-09 |
| 1912089244 | Kelly H. C. Kim | Nurse Practitioner | 1708 Old Donation Pkwy, Virginia Beach, VA 23454-3064 | 2006-10-19 |
| Street Address |
26742 E. UNIVERSITY DR. BUILDING 200, SUITE 220 |
| City | AUBREY |
| State | TX |
| Zip Code | 76227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679048292 | Navo Dental Professionals PC | Dentist | 26742 E. University Dr., Building 200, Suite 220, Aubrey, TX 76227 | 2018-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844406 | Jason Jenkins | Massage Therapist | 1213 Golden Eagle Ct., Aubrey, TX 76227 | 2020-09-04 |
| 1124667209 | Cornerstone Chiropractic II LLC | Chiropractor | 27077 East University Drive, Bldg 2, Ste 200, Aubrey, TX 76227 | 2020-01-06 |
| 1467000562 | Ftfslp LLC | Speech-Language Pathologist | 4800 Us Highway 377 S. Building 400, Aubrey, TX 76227 | 2019-09-01 |
| 1457912214 | Vista Rehab Partners, Lp | Physical Therapist | 26744 East University Dr #500, Little Elm, TX 76227 | 2019-06-24 |
| 1306400411 | Dental Depot of Little Elm, Pllc | Dentist | 26747 E University Dr., Aubrey, TX 76227 | 2019-04-24 |
| 1427511781 | Excelcare LLC | Pharmacy | 5315 Hwy 377 Bld 2, Ste C, Krugerville, Tx 76227, TX 76227 | 2019-04-12 |
| 1538638630 | Jane Bingiyan Bongotan | Registered Nurse | 6004 Hailey Ct Providence Village, Providence Village, TX 76227 | 2018-11-19 |
| 1134600729 | Revivify Revenue Cycle Consulting LLC | Durable Medical Equipment & Medical Supplies | 26850 Us Highway 380e, Suite 4002, Aubrey, TX 76227 | 2018-08-22 |
| 1518467067 | Jennifer Renee Harris | Licensed Vocational Nurse | 805 Hartsfield St, Savannah, TX 76227 | 2018-02-20 |
| 1922527647 | Laura Christine Giesler | Specialist/Technologist | 221 W Blackjack Rd, Aubrey, TX 76227 | 2017-09-13 |
| Find all providers in zip 76227 | ||||
| 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 |
|---|---|---|---|---|
| 1306400411 | Dental Depot of Little Elm, Pllc | Dentist | 26747 E University Dr., Aubrey, TX 76227 | 2019-04-24 |
| 1528534773 | Dallas Dental Associates - Savannah Pllc | Dentist | 26795 Us Highway 380 E Ste 400, Aubrey, TX 76227-7895 | 2018-10-15 |
| 1184096687 | Encore PCd Aubrey, Pllc | Dentist | 26735 Us Highway 380 E Ste 105, Aubrey, TX 76227-2338 | 2015-10-22 |
| 1174904908 | Aubrey Dental Pllc | Dentist | 26745 E. University Dr. #110, Aubrey, TX 76227 | 2015-06-17 |
| 1205250164 | Aubrey Modern Dental | Dentist | 5099 Us Highway 377 S, Suite 300, Aubrey, TX 76227-6204 | 2014-02-13 |
| 1366702607 | Dental Provider Resources 2, Pllc | Dentist | 26735 Us Highway 380 E, Ste 105, Aubrey, TX 76227-8210 | 2012-05-21 |
| 1275792509 | Kathy Bui | Dentist | 26745 E University Drive Ste 110, Aubrey, TX 76227 | 2008-06-02 |
| 1992910517 | Neeva Chukkapalli | Dentist | 26735 Us Hwy 380 E, Suite 105, Aubrey, TX 76227 | 2007-05-14 |
| 1861033631 | Gd Tx Pllc | Dentist | 26795 Us Highway 380 E Ste 400, Aubrey, TX 76227-7895 | 2019-10-03 |
| 1306221502 | Savannah Molina Pllc | Dentist | 26795 Us Highway 380 E, Suite 400, Aubrey, TX 76227-7853 | 2015-07-29 |
| Find all providers in AUBREY | ||||
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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.