DR. NICOLE KIM


Address: 2903 50th St, Lubbock, TX 79413-4323
Phone: 8065890658

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
32727 TX Dental Providers

Other Providers NICOLE KIM

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

Office Location

Street Address 2903 50TH ST
City LUBBOCK
State TX
Zip Code 79413-4323

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LUBBOCK
Zip Code 79413

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Dataset Information

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.

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