MR. JAMES JUNG KIM (NPI# 1063591964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063591964 |
| Entity Type | Individual |
| Full Name | MR. JAMES JUNG KIM |
| Credential | DDS |
| Practice Address |
12129 N Fm 620 Suite 300 Austin TX 78750 |
| Practice Telephone | 5122499147 |
| Practice Fax Number | 5122499032 |
| Mailing Telephone | 5122499147 |
| Mailing Fax Number | 5122499032 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17957 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 800821 | 01 | |
| BCBS | 017957 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1093200784 | James Chan Kim | Pharmacist | 5734 256th St Fl 2nd, Little Neck, NY 11362-2141 | 2018-06-26 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1053716589 | James Kim | Acupuncturist | 5 Laketrail Cv, Buena Park, CA 90621-1660 | 2014-10-27 |
| 1093135931 | James Moo Kim | Student in an Organized Health Care Education/Training Program | 9 Blueberry Cir, Andover, MA 01810-5026 | 2014-04-18 |
| 1801149802 | James Kyo Kim | Internal Medicine | 4950 Sunset Ave, 6th Floor, Los Angeles, CA 90027-4156 | 2012-10-16 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1538455803 | James Chang Ho Kim | Optometrist | 240 Graham Ave, Brooklyn, NY 11206-1204 | 2011-06-24 |
| Street Address |
12129 N FM 620 SUITE 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843518 | Mydental At Anderson Mill Pllc | Dentist | 13450 N Highway 183 Ste 237a, Austin, TX 78750 | 2018-06-05 |
| 1003305442 | Brendan Michael Harvey | Counselor | 12343 Hymeadow Dr Ste 2h, Austin, TX 78750 | 2018-05-01 |
| 1033621339 | Dr. Grant Glauser Dds Pllc | Clinic/Center | 12401 Hymeadow Dr, Bldg 5, Austin, TX 78750 | 2017-10-27 |
| 1649798166 | Poest Dental Pllc | Dentist | 10601 Pecan Park Blvd., Suite 101, Austin, TX 78750 | 2017-09-05 |
| 1255858031 | Pearl Priscilla Martinez | Marriage & Family Therapist | 13359 N Highway 183 Ste 406-611, Austin, TX 78750 | 2017-08-23 |
| 1295262814 | Atlas Orthopedic Products LLC | Prosthetic/Orthotic Supplier | 13785 Research Blvd Ste 125, Austin, TX 78750 | 2017-05-12 |
| 1790138691 | Dr. Marc Amsili | Dentist | 12335 Hyemeadow Drive, Ste 250, Austin, TX 78750 | 2016-07-15 |
| 1972991743 | Krista Yeh | Nurse Practitioner | 13617 Caldwell Drive, Austin, TX 78750 | 2015-01-02 |
| 1275960460 | Kristyn Magoon | Physician Assistant | 13617 Caldwell Dr., Suite 100, Austin, TX 78750 | 2013-10-02 |
| 1023454386 | Fuad Makkouk | Ophthalmology | 9707 Anderson Mill Rd Ste 220, Austin, TX 78750 | 2013-05-14 |
| Find all providers in zip 78750 | ||||
| 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 |
|---|---|---|---|---|
| 1497365704 | Kaushal Mansinhbhai Chaudhari | Dentist | 1612 E William Cannon Dr, Austin, TX 78744 | 2020-08-03 |
| 1477181014 | The Doctors Morren, Pllc | Dentist | 3810 N Quinlan Park Rd, Austin, TX 78732 | 2020-03-30 |
| 1003462045 | Ac Dentistry Pllc | Dentist | 13616 N Highway 183, Austin, TX 78750-2311 | 2019-08-15 |
| 1619520087 | Iana Elledge | Dentist | 4801 Amarra Dr, Austin, TX 78735-1845 | 2019-07-24 |
| 1861044265 | John Dinh Le | Dentist | 801 E William Cannon Dr Ste 201, Austin, TX 78745-6671 | 2019-07-15 |
| 1669030979 | Angela Patricia Velasquez | Dentist | 6601 Rialto Blvd Apt 6213, Austin, TX 78735-0063 | 2019-06-01 |
| 1093281289 | Brush32 Dental of South Congress Pllc | Dentist | 8900 S Congress Ave, Ste 400, Austin, TX 78745-7393 | 2018-10-16 |
| 1295216752 | Chia-chen Tsai | Dentist | 1500 W William Cannon Dr Apt 239, Austin, TX 78745-3767 | 2018-08-23 |
| 1194205427 | Mairna Qandla | Dentist | 10500 Avery Club Dr Unit 2, Austin, TX 78717-3937 | 2018-08-16 |
| 1487131470 | Brijita Parekh | Dentist | 6302 Libyan Dr, Austin, TX 78745-4971 | 2018-07-23 |
| Find all providers in AUSTIN | ||||
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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.