PAUL DADO KIM (NPI# 1790282622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790282622 |
| Entity Type | Individual |
| Full Name | PAUL DADO KIM |
| Credential | DDS |
| Practice Address |
5621 Tidewater Dr Norfolk VA 23509-1497 |
| Mailing Address |
6515 Skylemar Trl Centreville VA 20121-3842 |
| Practice Telephone | 7576223776 |
| Mailing Telephone | 5713187768 |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401416459 | VA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427529973 | Paul Kim | Registered Nurse | 17314 Vickie Ave, Cerritos, CA 90703-1354 | 2018-12-10 |
| 1538600119 | Paul Kim | Physical Therapy Assistant | 1378 Willow Oak Rd, Castle Rock, CO 80104-8566 | 2017-03-15 |
| 1619417490 | Paul Kim | Pharmacist | 765 Limekiln Pike Unit 26, Glenside, PA 19038-3930 | 2017-02-28 |
| 1568919686 | Paul Kim | Dentist | Hq, 618th Dental Company (as), Usa, Health Dental Activity-korea, Seoul, APO AP 96205-5652 | 2016-09-07 |
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1336560234 | Paul Kim | Dentist | 809 N Houk Rd, Delaware, OH 43015-4418 | 2013-12-18 |
| 1841633138 | Paul Taehoon Kim | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Ml 0558, Univ of Cincinnati Medical Center Department of Surgery, Cincinnati, OH 45267-0588 | 2013-04-17 |
| 1174806525 | Paul Joon Kim | Dentist | 514 Fulton Ave, Hempstead, NY 11550-4364 | 2011-09-22 |
| 1275822777 | Paul Moonwhan Kim | Psychiatry & Neurology | Meyer 1-104, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2011-04-05 |
| 1477885960 | Paul Kim | Dentist | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-02-08 |
| Street Address |
5621 TIDEWATER DR |
| City | NORFOLK |
| State | VA |
| Zip Code | 23509-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851495725 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 5621 Tidewater Dr, Norfolk, VA 23509-1442 | 2006-09-12 |
| 1407469539 | Shahroz Daud | Dentist | 5621 Tidewater Dr, Norfolk, VA 23509-1497 | 2020-08-28 |
| 1730562000 | Angela Shirey | Dentist | 5621 Tidewater Dr, Norfolk, VA 23509-1442 | 2015-07-06 |
| 1679893804 | Dental Professionals of Virginia, P.c | Dentist | 5621 Tidewater Dr, Norfolk, VA 23509-1442 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618820 | Burleigh Clarke | Physical Therapist | 1806 Lasalle Ave., Norfolk, VA 23509 | 2016-05-27 |
| 1770527400 | Gynecology Associates Ltd Pllc | Obstetrics & Gynecology | 2810 Tidewater Dr., Norfolk, VI 23509 | 2006-06-15 |
| 1285126110 | Tina Armstrong | Private Vehicle | 1730 Gowrie Ave, Norfolk, VA 23509-1024 | 2018-06-06 |
| 1992922603 | Peggy Lynn Pickford | Speech-Language Pathologist | 1779 Tait Ter, Norfolk, VA 23509-1043 | 2007-04-20 |
| 1235477761 | Senseabilities Pediatric Therapy, LLC | Speech-Language Pathologist | 1779 Tait Ter, Norfolk, VA 23509-1043 | 2013-01-17 |
| 1528391307 | Cimone S John | Nurse Practitioner | 2810 Tidewater Dr, Norfolk, VA 23509-1050 | 2009-09-11 |
| 1295760403 | Abraham S Anderson | Obstetrics & Gynecology | 2810 Tidewater Dr, Norfolk, VA 23509-1050 | 2006-07-12 |
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1285838797 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 3115 Lorraine Ave, Norfolk, VA 23509-1127 | 2007-06-11 |
| 1508140856 | Susan Cianfaglione | Counselor | 1526 Versailles Ave, No. 1, Norfolk, VA 23509-1146 | 2011-10-05 |
| Find all providers in zip 23509 | ||||
| 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 |
|---|---|---|---|---|
| 1265050140 | Brittany Ann Albers | Dentist | 3600 W Norfolk Ave, Norfolk, NE 68701-7702 | 2020-07-08 |
| 1154966323 | Lacey Ryan | Dentist | 1647 Admiral Taussig Blvd # Cd3, Norfolk, VA 23511-2803 | 2019-11-12 |
| 1346882479 | Dayoung Nmn Pierce | Dentist | 145 Granby St Apt 612, Norfolk, VA 23510-1662 | 2019-10-10 |
| 1013558576 | Jasmine Schneider | Dentist | 7923 Halprin Dr, Norfolk, VA 23518-3005 | 2019-10-04 |
| 1386110781 | Jae H Park | Dentist | 1637 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2018-10-23 |
| 1306363023 | Vincent Ignatius Floeder | Dentist | 1949 Admiral Taussig Blvd S, Norfolk, VA 23511-3425 | 2017-08-23 |
| 1760905350 | Alexandra Schott | Dentist | 1564 Admiral Taussig Blvd, Norfolk, VA 23511-2606 | 2017-07-25 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1871839498 | Edward J. Weisberg,d.d.s. | Dentist | 801 W Little Creek Rd Ste 103, Norfolk, VA 23505-2036 | 2012-12-31 |
| 1578822284 | Jamie Elizabeth Roberts | Dentist | 401 Connecticut Ave, Norfolk, VA 23508-2703 | 2012-05-15 |
| Find all providers in NORFOLK | ||||
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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.