BONGOK KIM (NPI# 1003193152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003193152 |
| Entity Type | Individual |
| Full Name | BONGOK KIM |
| Practice Address |
3885 Holdrege St. Lincoln NE 68583-0740 |
| Mailing Address |
Pobox 830740 Lincoln NE 68583-0740 |
| Practice Telephone | 4024728900 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
6993 | NE | Dental Providers |
| Street Address |
3885 HOLDREGE ST. |
| City | LINCOLN |
| State | NE |
| Zip Code | 68583-0740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427534106 | Landon Peterson | Dentist | 4000 E. Campus Loop, Lincoln, NE 68583 | 2018-07-16 |
| 1407375843 | Amanda Marie Dolen | Dental Hygienist | 4000 East Campus Loop S Rm. 2115, Lincoln, NE 68583 | 2017-09-18 |
| 1073984522 | Kelsey White | Dentist | 4000 E Campus Loop S, Lincoln, NE 68583 | 2015-10-09 |
| 1942619549 | Brandon Mendez | Dentist | 4000 E Campus Loop, University of Nebraska Medical Center, Lincoln, NE 68583 | 2014-08-07 |
| 1255747523 | Arturo Salinas Jr. | Dentist | 40th St & Holdrege St, Unmc College of Dentistry, Lincoln, NE 68583 | 2014-07-08 |
| 1528498979 | Paul Springer | Marriage & Family Therapist | East Campus, Family Resource Center, Lincoln, NE 68583 | 2013-11-21 |
| 1124308101 | Myhanh Thi Phan-rinne | Dentist | 40th & Holdrege #2037, Unmc Cod University Dental Associates, Lincoln, NE 68583 | 2011-08-23 |
| 1407077654 | Kimberly K Mcfarland | Dentist | 40th Holdrege St., Lincoln, NE 68583 | 2007-05-02 |
| 1619022183 | David Covey | Dentist | 40th and Holdrege St, Lincoln, NE 68583 | 2007-01-24 |
| 1295818151 | Amy C Killeen | Dentist | 40 Holdrege, Lincoln, NE 68583 | 2006-10-23 |
| Find all providers in zip 68583 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669663886 | Quinn Kin-wung Chan | Dentist | 152 Lincoln Rd Ste 1, Lincoln, MA 01773 | 2007-08-05 |
| 1821132960 | Joan E. Sivers | Dentist | 3885 Holdrege, 137, Lincoln, NE 68583-0740 | 2007-02-19 |
| 1578892998 | Steven Eric Haas | Dentist | 4000 East Campus Loop South, Lincoln, NE 68583-0740 | 2009-12-14 |
| 1366604761 | Omaid K Ahmad | Dentist | 40th and Holdrege Street, Lincoln, NE 68583-0740 | 2008-06-26 |
| 1891900502 | Paul A Hansen | Dentist | 1217 N Cotner Blvd, Lincoln, NE 68505-1837 | 2007-05-14 |
| 1366589400 | Julie Ann Marshall | Dentist | 2810 S 48th St, Lincoln, NE 68506-3391 | 2007-01-30 |
| 1851469704 | Eunghwan Kim | Dentist | 40th and Holdrege, Unmc College of Dentistry, Lincoln, NE 68583-0740 | 2006-11-30 |
| 1710081716 | Gerard Byrne | Dentist | 40th and Holdrege Streets, University of Nebraska Medical Center, College of Denti, Lincoln, NE 68583-0740 | 2006-09-11 |
| 1609865518 | Jennifer Ann Reed | Dentist | 2900 S 70th St, Suite 230, Lincoln, NE 68506-3688 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326110180 | Thomas R Meng Jr. | Dentist | 12165 W Center Rd, Suite 76, Omaha, NE 68144-3962 | 2006-11-15 |
| 1720175524 | James Francis Smith | Dentist | 4239 Farnam Street, The Doctors Building South Tower Suite # 234, Omaha, NE 68131-2865 | 2006-10-05 |
| 1194753756 | Dennis Elof Nilsson | Dentist | 10835 Cottonwood Ln, Omaha, NE 68164-2677 | 2006-06-30 |
| 1760467609 | Jeffery Craig Markt | Dentist | 981225 Nebraska Medical Center, Omaha, NE 68198-1225 | 2005-12-14 |
| 1558364349 | Charles William Wilcox | Dentist | 2500 California Plz, Omaha, NE 68178-0001 | 2005-05-24 |
| 1558870220 | James Loren Sheets | Dentist | 2500 California Plz, Omaha, NE 68178-0133 | 2017-09-26 |
| 1275946816 | Andrea Lynn Hall | Dentist | 14202 Y St, Omaha, NE 68137-2862 | 2014-06-10 |
| 1518026731 | John Kenneth Walton | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2006-12-06 |
| 1053353011 | David Manary | Dentist | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2006-06-12 |
| 1891753067 | Valmont P Desa | Dentist | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-03 |
| 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.