LUIS WOONG-JIN KIM (NPI# 1134342025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134342025 |
| Entity Type | Individual |
| Full Name | LUIS WOONG-JIN KIM |
| Credential | D.D.S. |
| Practice Address |
901 Ventura Ave Albany CA 94707-2122 |
| Practice Telephone | 5105261757 |
| Practice Fax Number | 5105263397 |
| Mailing Telephone | 5105261757 |
| Mailing Fax Number | 5105263397 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
50151 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX I.D. | 412170551 | 01 |
| Street Address |
901 VENTURA AVE |
| City | ALBANY |
| State | CA |
| Zip Code | 94707-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619025384 | Allan Sio | Dentist | 901 Ventura Ave, Albany, CA 94707-2122 | 2007-01-08 |
| 1679696645 | North Berkeley Dental Arts | Dentist | 901 Ventura Ave, Albany, CA 94707-2122 | 2007-04-06 |
| 1811010861 | Vincent Lim | Dentist | 901 Ventura Ave, Albany, CA 94707-2122 | 2007-04-06 |
| 1649393604 | Nathan Kaufman | Dentist | 901 Ventura Ave, Albany, CA 94707-2122 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740590488 | Alexander Simon Choe | Dentist | 634 Western Avenue, Albany, NY 12203 | 2010-10-15 |
| 1245497718 | Michael F. Lyons, D.m.d., P.c | Dentist | 634 Western Ave, Albany, NY 12203-1830 | 2008-05-21 |
| 1285762781 | Mitchell L. Flynn | Dentist | 1503a W 3rd Ave, Albany, GA 31707-3647 | 2007-02-28 |
| 1447308085 | Holland Boyd Wright II | Dentist | 1503 W 3rd Ave, Albany, GA 31707-3647 | 2007-01-08 |
| 1053651323 | Michael Frederick Lyons | Dentist | 634 Western Ave, Albany, NY 12203-1830 | 2013-02-25 |
| 1689875296 | Reed Ference | Dentist | 838 Western Ave, Albany, NY 12203-2315 | 2007-05-30 |
| 1316162076 | Steven G Messing | Dentist | 2 Executive Park Dr, Albany, NY 12203-3700 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.