JI YOON KIM (NPI# 1053661207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053661207 |
| Entity Type | Individual |
| Full Name | JI YOON KIM |
| Credential | DMD |
| Practice Address |
3620 E. Rosedale Street Fort Worth TX 76105 |
| Practice Telephone | 8175317000 |
| Mailing Telephone | 8175317000 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 28381 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639554 | Ji Sun Kim | Pharmacist | 1100 W Glendon Way Apt 20, Alhambra, CA 91803-3194 | 2015-05-21 |
| 1740599869 | Ji Woo Kim | Acupuncturist | 424 S 308th St, Federal Way, WA 98003-4025 | 2010-10-07 |
| 1164677746 | Ji In Kim | Dentist | 150 E Centennial Pkwy Ste 113, N Las Vegas, NV 89084 | 2008-11-24 |
| 1740357755 | Ji S Kim | Dentist | 26750 Grand River Ave, Redford, MI 48240-1529 | 2006-11-29 |
| 1578641023 | Ji Yong Kim | Acupuncturist | 225 Broad Ave, Palisades Park, NJ 07650-1588 | 2006-11-01 |
| 1114533965 | Ji Hyun Kim | Pharmacist | 7600 Schomburg Rd, Columbus, GA 31909 | 2020-09-17 |
| 1457907487 | Ji Kim | Acupuncturist | 196 Main St, Nanuet, NY 10954-3324 | 2019-08-15 |
| 1487216198 | Ji Su Kim | Nurse Anesthetist, Certified Registered | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2019-07-02 |
| 1740740356 | Ji Ho Kim | Behavior Technician | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624-9476 | 2019-03-20 |
| 1225501596 | Ji Kim | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2019-01-09 |
| Street Address |
3620 E. ROSEDALE STREET |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811211261 | Access Dental of Rosedale P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-03-15 |
| 1619297736 | Access Orthodontics of Rosedale, P.a. | Dentist | 3620 E. Rosedale Street, Fort Worth, TX 76105 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1609363100 | Courtney Mae Gramley | Specialist/Technologist | 1201 Wesleyan St., Fort Worth, TX 76105 | 2018-04-19 |
| 1992213078 | Fresenius Medical Care Se Fort Worth, LLC | Clinic/Center | 3708 E Rosedale St, Fort Worth, TX 76105 | 2018-01-11 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1548584998 | Access Dental of Berry, P.a. | Dentist | 4201 E. Berry Street, Suite #15, Fort Worth, TX 76105 | 2010-03-15 |
| 1396345799 | Danielle Hampton | Pharmacist | Walmart Pharmacy, 2900 Renaissance Square, Fort Worth, TX 76105 | 2020-10-27 |
| 1174041578 | Destonee Wilson | Physician Assistant | 1650 S Beach St, Fort Worth, TX 76105 | 2017-09-06 |
| 1184019929 | Sheelarani Joseph | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-30 |
| 1174915805 | Sun A Chung | Nurse Practitioner | 1650 S Beach St, Fort Worth, TX 76105 | 2015-03-04 |
| Find all providers in zip 76105 | ||||
| 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 |
|---|---|---|---|---|
| 1497354179 | Perla Dental of Keller Pa | Dentist | 5325 Golden Triangle Blvd Ste 100, Fort Worth, TX 76244-4469 | 2020-10-22 |
| 1962028514 | Christopher Thomas Mathew | Dentist | 4744 Bryant Irvin Rd, Fort Worth, TX 76132-3646 | 2020-06-19 |
| 1376016469 | Brident Dental Associates PC | Dentist | 815 E Berry St Ste B, Fort Worth, TX 76110-4457 | 2019-01-10 |
| 1972089241 | Hulen Dental Partners Pplc | Dentist | 6217 Oakmont Blvd, Fort Worth, TX 76132-2812 | 2018-07-19 |
| 1811473499 | Oak View Family Dentistry Pllc | Dentist | 8201 N. Beach St. Unit 101, Fort Worth, TX 76244 | 2018-07-17 |
| 1184118465 | Lisa Tran | Dentist | 515 W Loop 820 N Ste 101, Fort Worth, TX 76108-1450 | 2018-06-19 |
| 1548772213 | Ideal Dental of West 7th Pllc | Dentist | 628 Harrold St Ste 124, Fort Worth, TX 76107-2323 | 2017-11-02 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1083138341 | Shakti Darshan Pllc | Dentist | 10313 Roatan Trl, Fort Worth, TX 76244-2039 | 2017-07-28 |
| 1336662022 | Ben Luka | Dentist | 639 Alta Mere Dr, Fort Worth, TX 76114 | 2017-07-25 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76105 |
Please comment or provide details below to improve the information on JI YOON KIM.
| 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.