JUNIL KIM (NPI# 1124471941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124471941 |
| Entity Type | Individual |
| Full Name | JUNIL KIM |
| Credential | DMD |
| Practice Address |
4230 Crums Mill Rd Harrisburg PA 17112-2898 |
| Mailing Address |
100 Morningside Dr Apt 2k New York NY 10027-6023 |
| Practice Telephone | 7172954400 |
| Mailing Telephone | 2532245008 |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS042670 | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS042670 | PA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 374 Stockholm St, Dental, Brooklyn, NY 112374006 | 7189637272 |
| Street Address |
4230 CRUMS MILL RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112-2898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126251 | Barbara Karlheim Kunkel | Radiology | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2005-10-04 |
| 1407311525 | Ruchi Dalal | Physician Assistant | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2019-02-02 |
| 1871019240 | Caring Heart Home Care LLC | Home Health | 4230 Crums Mill Rd, Suite 201, Harrisburg, PA 17112 | 2017-08-17 |
| 1114455581 | Spirit Physician Services, Inc | Pediatrics | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2017-05-31 |
| 1225584543 | Vijaya Lakshmi Reddy Basarahalli | Internal Medicine | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2016-08-28 |
| 1972980290 | Kristen Hertzler | Registered Nurse | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2015-05-06 |
| 1972916617 | Kimberly Nguyen | Podiatrist | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2014-06-10 |
| 1528403649 | Spirit Physician Services, Inc. | Family Medicine | 4230 Crums Mill Rd, Suite 100, Harrisburg, PA 17112-2898 | 2013-05-02 |
| 1336484708 | Sowmya Boora | Internal Medicine | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2012-12-11 |
| 1861653552 | Divya Vodikad Jaiprakash | Internal Medicine | 4230 Crums Mill Rd, Harrisburg, PA 17112-2898 | 2008-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578858015 | Nathanael Stephen Shaw | Dentist | 5000 Highway 49 South, Harrisburg, NC 28075-8465 | 2011-06-13 |
| 1184827313 | Peter Anthony Caso | Dentist | 5525 Locust Lane, Harrisburg, PA 17109 | 2007-06-06 |
| 1790830289 | Bruce Blumenfeld | Dentist | 1650 Walnut St, Harrisburg, PA 17103-2350 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309106 | Sea of Smiles 4 LLC | Dentist | 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 | 2019-11-06 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
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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.