DR. TONY KIM (NPI# 1952748022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952748022 |
| Entity Type | Individual |
| Full Name | DR. TONY KIM |
| Credential | D.D.S. |
| Practice Address |
2539 Judson Rd Longview TX 75605 |
| Mailing Address |
115 E Hawkins Pkwy Apt 1213 Longview TX 75605 |
| Practice Telephone | 5083338403 |
| Mailing Telephone | 5083338403 |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
28882 | TX | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
28882 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853753 | Tony Jaewon Kim | Student in an Organized Health Care Education/Training Program | 1 Nassau St Apt 906, Boston, MA 02111-1554 | 2020-05-19 |
| 1124296397 | Tony S Kim | Dentist | 2415 Beaver Ruin Rd, Suite A, Norcross, GA 30071-4175 | 2008-02-11 |
| 1952304016 | Tony Kyungsoo Kim | Chiropractor | 2100 Market St, Suite 100, Charlestown, IN 47111-9535 | 2005-05-23 |
| 1093344384 | Tony Kim | Day Training/Habilitation Specialist | 7521 Brayton Dr, Anchorage, AK 99507-2667 | 2020-04-07 |
| 1891282885 | Tony Kim | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104 | 2018-04-16 |
| 1700936036 | Tony Guest Kim | Anesthesiology | 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 | 2007-01-11 |
| 1558384115 | Tony Kim | Radiology | 120 N Oak St, Hinsdale, IL 60521-3829 | 2006-07-25 |
| 1477599777 | Tony D. H. Kim | Podiatrist | 616 N Chelan Ave, Wenatchee, WA 98801-2025 | 2006-06-22 |
| 1609866573 | Tony S Kim | Emergency Medicine | 1400 E Boulder St, Colorado Springs, CO 80909 | 2005-10-24 |
| Street Address |
2539 JUDSON RD |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528256203 | North Mesa Dental, PC | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2007-10-09 |
| 1871145664 | Christopher Badami | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2019-07-11 |
| 1417434739 | Gianina Correa Nixon | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2018-07-20 |
| 1477073310 | Sherif Elbarnashawy | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2017-06-21 |
| 1619356839 | Sheryl Voulgaropoulos | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2015-05-20 |
| 1407261308 | Honey Balazadeh | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2014-06-30 |
| 1528407863 | Brian Miller | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2013-06-20 |
| 1275814212 | Padma Daggula | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2011-09-05 |
| 1437439304 | Kunal Karan | Dentist | 2539 Judson Rd, Longview, TX 75605-4643 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| 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 |
|---|---|---|---|---|
| 1124681564 | Travis L Kendall Dds Pllc | Dentist | 444 Forest Sq Ste E, Longview, TX 75605-4463 | 2019-04-22 |
| 1609349612 | Sds-bill Owens Pkwy Pllc | Dentist | 3 Doctor Cir, Longview, TX 75605-5050 | 2019-01-03 |
| 1699272088 | Gur Simran Aurora | Dentist | 3052 N Eastman Rd Ste 108, Longview, TX 75605-5013 | 2018-04-11 |
| 1801301643 | Sds-bill Owens Pkwy Pllc | Dentist | 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 | 2017-12-01 |
| 1780104836 | Timothy John Gengel | Dentist | 444 Forest Sq Ste 1, Longview, TX 75605-4400 | 2017-06-20 |
| 1154878551 | Olivia Joelle Ndoutoume | Dentist | 2801 Bill Owens Pkwy, Apt 279, Longview, TX 75605-2115 | 2016-09-02 |
| 1659793396 | Jared A Franson, Dmd, Ps | Dentist | 2020 9th Ave Ste A, Longview, WA 98632-4072 | 2014-01-15 |
| 1619300332 | Robert Byron Shelton | Dentist | 905 Walnut Hill Dr Ste 1, Longview, TX 75605-5084 | 2013-08-16 |
| 1790128189 | Shiney George | Dentist | 710 Estes Dr, Longview, TX 75602-6120 | 2013-04-16 |
| 1740560911 | Mark D Teigen Dds Ps | Dentist | 1105 14th Ave, Longview, WA 98632-3016 | 2011-08-19 |
| Find all providers in LONGVIEW | ||||
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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.