JIYON KIM (NPI# 1124104856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124104856 |
| Entity Type | Individual |
| Full Name | JIYON KIM |
| Credential | DDS |
| Practice Address |
344 Morris Ave S Renton WA 98057-2521 |
| Practice Telephone | 4252266227 |
| Practice Fax Number | 4252266313 |
| Mailing Telephone | 4252266227 |
| Mailing Fax Number | 4252266313 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00009692 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942388061 | Jiyon Jennifer Kim | Physician Assistant | 727 Broadway, Suite B4, Massapequa, NY 11758 | 2006-11-02 |
| 1104101591 | Jiyon Kim | Psychologist | 1991 Marcus Ave, Suite 104, New Hyde Park, NY 11042-2057 | 2011-10-17 |
| Street Address |
344 MORRIS AVE S |
| City | RENTON |
| State | WA |
| Zip Code | 98057-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689760415 | Sang C. Kim | Dentist | 344 Morris Ave S, Renton, WA 98057-2521 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| 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 |
|---|---|---|---|---|
| 1639799471 | Fairwood Dental LLC | Dentist | 14250 Se 176th #j7, Renton, WA 98058 | 2020-04-22 |
| 1134775042 | Kristi Lynn Pedersen | Dentist | 17816 108th Ave Se, Renton, WA 98055-6419 | 2019-08-15 |
| 1932674330 | Andi Liou | Dentist | 4625 Ne 3rd Ln Unit G4, Renton, WA 98059-5272 | 2018-10-11 |
| 1336621549 | Xuelian Huang | Dentist | 525 Park Ave N Ste B, Renton, WA 98057-5522 | 2018-09-04 |
| 1093292385 | Charles Wenchao Hu | Dentist | 17220 140th Ave Se Ste C, Renton, WA 98058-7000 | 2018-07-19 |
| 1992157838 | Suzanna Bonard Mcaninley | Dentist | 955 Park Ave N, Suite D, Renton, WA 98057-5560 | 2016-07-04 |
| 1619250016 | Sam D.k. Kim, Dmd, Pllc | Dentist | 1412 Sw 43rd St Ste 109, Renton, WA 98057-4803 | 2011-09-21 |
| 1447554209 | Daniel Y.go, D.d.s., P.s. | Dentist | 1002 Park Ave N, Suite K, Renton, WA 98057-5632 | 2011-01-07 |
| 1144533316 | Steven L. Paige Dds & Kenza Houki Dmd Renton Pllc | Dentist | 3900 East Valley Rd. Suite 203, Renton, WA 98057 | 2010-07-16 |
| 1730315375 | Homayoon Fotovatjah | Dentist | 1314 Union Ave Ne, #8, Renton, WA 98059-3959 | 2009-06-10 |
| Find all providers in RENTON | ||||
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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.