DR. JOHN HYUN-SUK KIM (NPI# 1912351941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912351941 |
| Entity Type | Individual |
| Full Name | DR. JOHN HYUN-SUK KIM |
| Credential | D.D.S. |
| Practice Address |
901 Moraga Rd Ste B Lafayette CA 94549-4567 |
| Practice Telephone | 9252849404 |
| Practice Fax Number | 9252849320 |
| Mailing Telephone | 9252849404 |
| Mailing Fax Number | 9252849320 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 36952 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942132 | John Minsung Kim | Acupuncturist | 2 N 6th Pl Apt 6n, Brooklyn, NY 11249-3397 | 2020-08-13 |
| 1437711207 | John Kim | Dentist | 21 White Bridge Rd Ste 111, Nashville, TN 37205-1443 | 2019-07-02 |
| 1306316039 | John S Kim | Technician | 217 N 21st St, Las Vegas, NV 89101-4503 | 2018-11-26 |
| 1821441551 | John H Kim | Registered Nurse | 12140 Monument Dr Unit 464, Fairfax, VA 22033-5518 | 2016-07-18 |
| 1831556117 | John Kim | Dentist | 10011 Bridgeport Way Sw, Ste 700, Lakewood, WA 98499-2332 | 2016-01-18 |
| 1184968703 | John J Kim | Acupuncturist | 20331 Allport Ln, Huntington Beach, CA 92646-5101 | 2012-11-20 |
| 1699039792 | John Minkyu Kim | Dentist | 618th Dental Co. Usag Humphreys, Carius Dental Clinic, Unit # 15660, Bldg # P3020, Apo, AP 96271-5660 | 2012-07-03 |
| 1598032559 | John Hakkyun Kim | Family Medicine | 3195 Harbor Blvd Ste 3, Costa Mesa, CA 92626-2514 | 2011-11-18 |
| 1811279722 | John Hoon Chul Kim | Pharmacist | 101 Pointe Dr, Unit 102, Northbrook, IL 60062-1001 | 2011-09-16 |
| 1629257712 | John Kim | Dentist | 18611 Yorba Linda Blvd, Yorba Linda, CA 92886-4136 | 2007-10-25 |
| Street Address |
901 MORAGA RD STE B |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| 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 |
|---|---|---|---|---|
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| 1952864654 | Laura Aguilar | Dentist | 3466 Mt Diablo Blvd Ste C207, Lafayette, CA 94549-7108 | 2019-04-09 |
| 1558852251 | Affordable Dentures & Implants - Lafayette, P.C. | Dentist | 4315 Commerce Dr Ste 210, Lafayette, IN 47905-3823 | 2018-05-29 |
| 1194246942 | Benjamin Isaac Fischer | Dentist | 415 N 26th St Ste 302, Lafayette, IN 47904-2893 | 2017-07-02 |
| 1912364241 | Maura Rose Darnieder | Dentist | 1285 Centaur Village Dr, Suite 200, Lafayette, CO 80026-1214 | 2016-01-17 |
| 1538530381 | Jacob Dent, Dds Lafayette Modern Dentistry, A Professional Corporation | Dentist | 4243 Ambassador Caffery Pkwy, Ste 118, Lafayette, LA 70508 | 2015-10-19 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1023484805 | Tyler Kellum Levie | Dentist | 201 E. Villanow Street, Lafayette, GA 30728 | 2015-08-17 |
| 1356724793 | Valeri Rose Guido-walker | Dentist | 150 Professional Ct, Suite B, Lafayette, IN 47905-5153 | 2015-07-02 |
| Find all providers in LAFAYETTE | ||||
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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.