DR. NICOLE KIM (NPI# 1891227831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891227831 |
Entity Type | Individual |
Full Name | DR. NICOLE KIM |
Credential | D.M.D., M.S.D. |
Practice Address |
2903 50th St Lubbock TX 79413-4323 |
Practice Telephone | 8065890658 |
Practice Fax Number | 8067970975 |
Mailing Telephone | 8065890658 |
Mailing Fax Number | 8067970975 |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
32727 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659747616 | Nicole Kim | Pharmacist | 8301 Professional Pl Ste 115, Landover, MD 20785-2351 | 2015-08-13 |
1235776659 | Nicole Kim | Case Manager/Care Coordinator | 3208 Rosemead Blvd Ste 200, El Monte, CA 91731-2830 | 2019-12-04 |
1023521259 | Nicole M Kim | Pharmacist | 740 W Alluvial Ave Ste 101, Fresno, CA 93711-5509 | 2017-11-09 |
1689068660 | Nicole Kim | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, Room 987, San Francisco, CA 94143-0119 | 2015-03-26 |
1003183641 | Nicole Kim | Social Worker | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2011-11-28 |
1194998666 | Nicole Yoon Kim | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2008-04-07 |
1346440948 | Nicole D Kim | Dentist | 5835 Post Rd, Suite 113, East Greenwich, RI 02818-2154 | 2007-07-20 |
Street Address |
2903 50TH ST |
City | LUBBOCK |
State | TX |
Zip Code | 79413-4323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760712335 | North Mesa Dental, PC | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2010-01-05 |
1164801957 | Rohan Sharma | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2015-05-26 |
1396158333 | Charles Roberts | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2014-06-07 |
1316389604 | Venkata Ramana Reddy Nalla | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2013-07-26 |
1952624199 | Zhanna P Devyatkina | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2010-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
Find all providers in zip 79413 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326379777 | John Francis Brown | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2010-01-25 |
1902013881 | St. Clair and St. Clair Orthodontics | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2007-05-17 |
1992928246 | Joe Forsman | Dentist | 6400 Quaker Ave, Lubbock, TX 79413-5143 | 2007-04-11 |
1740364074 | Edwin Clarence Wentz | Dentist | 4013-84th, Lubbock, TX 79423 | 2006-10-24 |
1689641862 | Jeff G. Keeling | Dentist | 5203 79th St, Suite A, Lubbock, TX 79424-2850 | 2006-03-07 |
1679028484 | Christopher Carrel Massey | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2016-08-22 |
1669867263 | Braces Braces Braces of Abbeville - Lubbock Pllc | Dentist | 3801 50th St, Suite 15, Lubbock, TX 79413-3807 | 2015-03-31 |
1780938902 | Claudio Caycedo Dds, Pa | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2012-11-09 |
1255660460 | Derid Ure | Dentist | 4601 50th St, Suite 206, Lubbock, TX 79414-3513 | 2009-12-17 |
1205062296 | Stephen Joseph Breaud | Dentist | 4630 50th St, Ste 505, Lubbock, TX 79414-3521 | 2009-06-03 |
Find all providers in LUBBOCK |
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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.