DR. CHRIS Y. KIM (NPI# 1811413594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811413594 |
| Entity Type | Individual |
| Full Name | DR. CHRIS Y. KIM |
| Other Name | DR. YONGHYUN KIM |
| Credential | DDS |
| Practice Address |
1508 N Riverside Dr Espanola NM 87532-2064 |
| Mailing Address |
16213 Star Crest Way Fontana CA 92336-1472 |
| Practice Telephone | 5057530544 |
| Mailing Telephone | 9092751626 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2019-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DD4781 | NM | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8400 Osuna Rd Ne Ste 5a, Albuquerque, NM 871112072 | 5058841989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1437541125 | Chris Kim | Physician Assistant | 8555 N National Ave, Niles, IL 60714-2229 | 2015-03-04 |
| 1316347024 | Chris Suk Joo Kim | Acupuncturist | 13132 Mesa Verde Way, Sylmar, CA 91342-3450 | 2014-08-29 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1043438021 | Chris K.h Kim | Dentist | 1391 S Diamond Bar Blvd, Diamond Bar, CA 91765-2208 | 2007-04-23 |
| 1134293392 | Chris Unsok Kim | Dentist | 60 Lewis St # 6, Lynn, MA 01902-4858 | 2006-11-20 |
| 1417064114 | Chris Hyon Kim | Chiropractor | 9420 Reseda Blvd Ste 6, Northridge, CA 91324-6026 | 2006-08-25 |
| 1376178327 | Chris Y Kim | Technician/Technologist | 208 Vintage Way Ste K21, Novato, CA 94945-5016 | 2020-03-10 |
| 1598282832 | Chris Kim | Nurse Practitioner | 9043 W Olive Ave, Peoria, AZ 85345-7049 | 2017-08-28 |
| 1922467190 | Chris Taehyun Kim | Student in an Organized Health Care Education/Training Program | 1807 Bay Rd, East Palo Alto, CA 94303-1312 | 2016-02-17 |
| Street Address |
1508 N RIVERSIDE DR |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356634703 | Familia Dental Esp LLC | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2054 | 2011-05-18 |
| 1861005662 | Kevin Chun Hui Chang | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2020-08-31 |
| 1275172181 | Brent Lee Jorgensen | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2019-12-26 |
| 1235782566 | Muhammad Atif Khan | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2019-07-16 |
| 1780100065 | Sun Young Park | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-17 |
| 1841715992 | Suho Bae | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-10 |
| 1730632761 | Jaesung Seo | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2016-07-26 |
| 1285912048 | Sara Hakimzadeh | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2054 | 2011-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| 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 |
|---|---|---|---|---|
| 1356634703 | Familia Dental Esp LLC | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2054 | 2011-05-18 |
| 1356401194 | Valerie Nicole Lapolla | Dentist | Rr 5 Box 446, Santa Clara Health Center, Espanola, NM 87532-8908 | 2006-12-11 |
| 1922177385 | Michael S Redman | Dentist | 704 La Joya St, Espanola, NM 87532-2599 | 2006-11-07 |
| 1083725238 | Robert J Manzanares | Dentist | 232 Paseo De Onate, Espanola, NM 87532 | 2006-08-31 |
| 1104845486 | Michael Stephen Dondelinger | Dentist | 608 Lajoya St., Suite B, Espanola, NM 87532 | 2006-07-18 |
| 1558336883 | Robert W Daniels | Dentist | 111 N Railroad Ave, Espanola, NM 87532-2627 | 2006-02-21 |
| 1780100065 | Sun Young Park | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-17 |
| 1841715992 | Suho Bae | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2064 | 2017-08-10 |
| 1285912048 | Sara Hakimzadeh | Dentist | 1508 N Riverside Dr, Espanola, NM 87532-2054 | 2011-07-28 |
| 1760651277 | Michael S. Redman, D.m.d., P.C. | Dentist | 704 La Joya St, Espanola, NM 87532-2599 | 2008-02-28 |
| Find all providers in ESPANOLA | ||||
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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.