DR. JOO KIM (NPI# 1790920049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790920049 |
| Entity Type | Individual |
| Full Name | DR. JOO KIM |
| Credential | D.D.S. |
| Practice Address |
3366 Park Ave Wantagh NY 11793-3770 |
| Practice Telephone | 6467842703 |
| Mailing Telephone | 6467842703 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 054830-1 | NY | Dental Providers |
| N | 122300000X | Dentist | 22DI02390000 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740200476 | Joo R Kim | Legal Medicine | 9905 Bace Ave, Bakersfield, CA 93307-6211 | 2006-07-19 |
| 1427073402 | Joo R Kim | Pediatrics | 2621 S Bristol St Ste 104, Santa Ana, CA 92704-5718 | 2006-07-12 |
| 1558824086 | Joo Kim | Registered Nurse | 116 W 32nd St Fl 8, New York, NY 10001-3212 | 2019-04-11 |
| 1427381730 | Joo Won Kim | Acupuncturist | 2334 W Valencia Dr, Fullerton, CA 92833-3128 | 2009-09-18 |
| 1376664748 | Joo Han Kim | Optometrist | 14000 Worth Ave, Woodbridge, VA 22192-4121 | 2007-04-03 |
| 1326103789 | Joo Song Kim | Internal Medicine | 447 Atlantic Ave, Brooklyn, NY 11217-1702 | 2006-12-26 |
| 1942211388 | Joo Yon Kim | Family Medicine | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2006-08-10 |
| 1497724173 | Joo Y Kim | Internal Medicine | 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 | 2006-03-16 |
| Street Address |
3366 PARK AVE |
| City | WANTAGH |
| State | NY |
| Zip Code | 11793-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086259 | Jian Pi | Acupuncturist | 3366 Park Ave, Suite 210, Wantagh, NY 11793-3718 | 2005-07-08 |
| 1205116605 | Neil Finn | Dentist | 3366 Park Ave, Wantagh, NY 11793-3770 | 2011-08-17 |
| 1386843019 | Todd Darren Pobiner | Dentist | 3366 Park Ave, Suite 202, Wantagh, NY 11793-3770 | 2007-07-12 |
| 1194944348 | Lois Beth Levine | Dentist | 3366 Park Ave, Wantagh, NY 11793-3718 | 2007-04-25 |
| 1235358474 | Vasiliki Batalias | Dentist | 3366 Park Ave, Wantagh, NY 11793-3718 | 2007-04-25 |
| 1790902567 | Leslie Gary Batnick | Dentist | 3366 Park Ave, Wantagh, NY 11793-3718 | 2007-04-20 |
| 1306917620 | Irwin Silversmith | Dentist | 3366 Park Ave, Suite 201, Wantagh, NY 11793-3773 | 2006-11-10 |
| 1750468443 | Anthony J. Bacchi | Dentist | 3366 Park Ave, Suite 201, Wantagh, NY 11793-3773 | 2006-11-01 |
| 1578648721 | Shawn Garrett Pobiner | Dentist | 3366 Park Ave, Ste 202, Wantagh, NY 11793-3738 | 2006-10-26 |
| 1285666586 | Norman Edward Rich | Dentist | 3366 Park Ave, Ste 112, Wantagh, NY 11793-3718 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
| 1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
| 1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
| 1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
| 1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
| 1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
| 1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
| 1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
| 1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
| 1003146119 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 2957 Burns Avenue, Wantagh, NY 11793 | 2010-01-12 |
| Find all providers in zip 11793 | ||||
| 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 |
|---|---|---|---|---|
| 1881131415 | Miranda Krivca | Dentist | 3366 Park Ave Ste 201, Wantagh, NY 11793-3718 | 2017-01-20 |
| 1528240215 | Andrew Jay Slyper | Dentist | 3601 Jerusalem Ave, Wantagh, NY 11793-2005 | 2007-12-04 |
| 1740326354 | Edward Allen Spiro | Dentist | 12 Red Maple Drive North, Wantagh, NY 11793 | 2007-01-30 |
| 1013094523 | Lawrence R Rosenzweig Dds PC | Dentist | 3305 Jerusalem Avenue, Suite 102, Wantagh, NY 11793 | 2006-11-01 |
| 1447349675 | Scott Joseph Tredwell | Dentist | 1599 Wantagh Avenue, Wantagh, NY 11793 | 2006-10-12 |
| 1780641654 | Keith R Kaplan | Dentist | 3299 Cherrywood Dr, Wantagh, NY 11793-1827 | 2006-04-26 |
| 1265936678 | Desiree Elizabeth Milana | Dentist | 1269 Wantagh Ave, Wantagh, NY 11793-2205 | 2018-03-20 |
| 1619215910 | Deepa Madhavan Ipektchi | Dentist | 3299 Cherrywood Dr, Wantagh, NY 11793-1827 | 2013-01-21 |
| 1023261682 | Michael Nosov | Dentist | 3305 Jerusalem Ave, Suite 106, Wantagh, NY 11793-2028 | 2008-10-28 |
| 1588730741 | Vahid Ipektchi | Dentist | 2175 Wantagh Ave, Suite 201, Wantagh, NY 11793 | 2006-11-28 |
| Find all providers in WANTAGH | ||||
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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.