DR. KIWON KENNETH SHIN (NPI# 1932367596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932367596 |
| Entity Type | Individual |
| Full Name | DR. KIWON KENNETH SHIN |
| Credential | DDS |
| Practice Address |
29 Northern Blvd Greenvale NY 11548-1320 |
| Practice Telephone | 5166252929 |
| Practice Fax Number | 5166252558 |
| Mailing Telephone | 5166252929 |
| Mailing Fax Number | 5166252558 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 039926 | NY | Dental Providers |
| Street Address |
29 NORTHERN BLVD |
| City | GREENVALE |
| State | NY |
| Zip Code | 11548-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075299 | Colorectal Surgery Services Pllc | Colon & Rectal Surgery | 2200 Northern Blvd Ste 210, Greenvale, NY 11548 | 2017-07-13 |
| 1164806535 | Catheryne Leon | Registered Nurse | 2200 Northern Blvd Ste 133, Greenvale, NY 11548 | 2015-07-16 |
| 1871888503 | George Cheriyan | Neuromusculoskeletal Medicine & OMM | 500 Northern Boulevard, Greenvale, NY 11548 | 2011-06-10 |
| 1144414079 | Suzy Young Choi | Registered Nurse | 12 Wellington Road, Greenvale, NY 11548 | 2007-09-04 |
| 1790983450 | Aleksander Shalshin | Internal Medicine | 9 Cedar Street, Greenvale, NY 11548 | 2007-07-04 |
| 1609394022 | Gabriella Paiotti | Speech-Language Pathologist | 720 Northern Boulevard, Brookville, NY 11548 | 2017-09-06 |
| 1659638708 | Jeremy Michael Liff | Internal Medicine | 2200 Northern Blvd, Suite 207, Greenvale, NY 11548 | 2012-04-13 |
| 1952531931 | Nicole M Ptak-yenchman | Dentist | 2200 Northern Blvd, Suite 107, Greenvale, NY 11548 | 2009-07-23 |
| 1053454934 | Punam Prabhakar | Psychiatry & Neurology | 2200 Northern Blvd, Suite 128, East Hills, NY 11548 | 2007-02-14 |
| 1063937142 | City Medical of Upper East Side, Pllc | Clinic/Center | 44 Glen Cove Rd, Greenvale, NY 11548-1003 | 2017-08-09 |
| Find all providers in zip 11548 | ||||
| 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 |
|---|---|---|---|---|
| 1952531931 | Nicole M Ptak-yenchman | Dentist | 2200 Northern Blvd, Suite 107, Greenvale, NY 11548 | 2009-07-23 |
| 1871649772 | Wei Huang-parise | Dentist | 2200 Northern Blvd, Suite 107, Greenvale, NY 11548-1220 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1336749530 | Suffolk Dental Care, PC | Dentist | 3650 Route 112 Ste 105, Coram, NY 11727-4131 | 2020-10-27 |
| 1457959207 | The Dental Equation, Pllc | Dentist | 626 E Boston Post Rd, Mamaroneck, NY 10543 | 2020-10-14 |
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1316553613 | Hihland Falls Dental Associate | Dentist | 70 Villa Pkwy, Highland Falls, NY 10928-1615 | 2020-09-22 |
| 1679188130 | Glen Cove Dental P.C. | Dentist | 44 Elm St Ste 1, Huntington, NY 11743-3403 | 2020-09-11 |
| 1255945945 | Derek Lin | Dentist | 10750 Queens Blvd Ste 2, Forest Hills, NY 11375-4266 | 2020-09-01 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1700495272 | Casey Depauw | Dentist | 1066 Abbott Rd # 1, Buffalo, NY 14220-2756 | 2020-07-30 |
| 1194334607 | Asnis Dental Pllc | Dentist | 112 Alexander Ave Unit A, Lake Grove, NY 11755-0429 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
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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.