CHARLES JUNGHYUN KIM (NPI# 1063429447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063429447 |
| Entity Type | Individual |
| Full Name | CHARLES JUNGHYUN KIM |
| Credential | DDS |
| Practice Address |
10217 19th Ave Se Ste 202 Everett WA 98208-4266 |
| Practice Telephone | 4252207512 |
| Mailing Telephone | 4252207512 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE8256 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5041512 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427467331 | Charles Kim | Dentist | 18605 Cecelia Way, Cerritos, CA 90703-6136 | 2014-08-05 |
| 1912331141 | Charles J Kim | Dentist | 406 Sw 336th Ct, Federal Way, WA 98023-8301 | 2013-08-23 |
| 1306090246 | Charles J Kim | Dentist | 500 N Central Ave Ste 700, Glendale, CA 91203-3342 | 2008-11-05 |
| 1043420268 | Charles Kim | Optometrist | 94-07a 46 Avenue, 2nd Floor, Elmhurst, NY 11373 | 2007-05-23 |
| 1154361434 | Charles S. Kim | Specialist | 631 Cleveland Ave S Ste 5, Saint Paul, MN 55116-1244 | 2006-06-07 |
| 1699208074 | Charles Kim | Student in an Organized Health Care Education/Training Program | 430 Clarkson Avenue, Room Bsb 2-74, Brooklyn, NY 11203 | 2017-04-04 |
| 1740674761 | Charles C Kim | Hospitalist | 1375 E 19th Ave, Denver, CO 80218-1114 | 2015-03-27 |
| 1104242924 | Charles Kim | Ophthalmology | 1899 W March Ln, Stockton, CA 95207-6402 | 2014-03-18 |
| 1447523568 | Charles Chanwoong Kim | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386-9163 | 2012-02-21 |
| 1215204227 | Charles Kim | Pharmacist | 8201 Greenleaf Ave, Whittier, CA 90602-2910 | 2011-11-18 |
| Street Address |
10217 19TH AVE SE STE 202 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407060478 | Kim & Kim, Dds, Ps | Dentist | 10217 19th Ave Se Ste 202, Everett, WA 98208-4266 | 2007-05-09 |
| 1881601268 | Young Kim | Dentist | 10217 19th Ave Se Ste 202, Everett, WA 98208-4266 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| 1700494747 | Hwang Ghorbanian Im II Dds Ps | Dentist | 111 Se Everett Mall Way Ste B100, Everett, WA 98208-3208 | 2020-07-15 |
| 1467946376 | Quirt, Mongrain, Gibree, P.C. | Dentist | 10025 19th Ave Se Ste 200, Everett, WA 98208-4275 | 2018-06-15 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1003176512 | Phuongdao Dmd LLC | Dentist | 910 Broadway Fl 1, Everett, MA 02149-3126 | 2012-05-18 |
| 1275869000 | Dae Ho Kim | Dentist | 5929 Evergreen Way Ste 100, Everett, WA 98203-6031 | 2009-10-29 |
| 1578727269 | Atkinson & Kaopua, Ps | Dentist | 111 Se Everett Mall Way Ste D, Everett, WA 98208-3208 | 2008-07-11 |
| 1942468004 | Kee Nam Kim | Dentist | 10303 19th Ave Se Ste A, Everett, WA 98208-4265 | 2008-05-27 |
| 1609061886 | Dr Peter A Capodlilupo Dds P.C. | Dentist | 563 Broadway Ste 21, Everett, MA 02149-3749 | 2007-09-11 |
| 1124223755 | Phuong Thi Dao | Dentist | 910 Broadway, 1, Everett, MA 02149-3126 | 2007-06-14 |
| Find all providers in EVERETT | ||||
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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.