HYUNG-JU JOHN KIM DDS INC (NPI# 1154796043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154796043 |
| Entity Type | Organization |
| Organization Name | HYUNG-JU JOHN KIM DDS INC |
| Practice Address |
1136 N Mount Vernon Ave Spc 202-203 San Bernardino CA 92411-2279 |
| Practice Telephone | 9094530244 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | DR. HYUNG-JU JOHN KIM DDS (CEO) |
| Authorized Official Telephone | 9094530244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178828 | Hyung-ju John Kim Dds Inc | Dentist | 6515 Atlantic Ave, Bell, CA 90201-2521 | 2019-01-14 |
| 1710464060 | Hyung-ju John Kim Dds Inc | Dentist | 8485 Tamarind Ave, Fontana, CA 92335 | 2018-07-19 |
| 1992066435 | Hyung-ju John Kim Dds Inc | Dentist | 2528 W Olympic Blvd, Suite 110-111, Los Angeles, CA 90006-2922 | 2012-05-31 |
| 1619101540 | Hyung-ju John Kim Dds Inc | Dentist | 2805 S San Pedro St, Los Angeles, CA 90011-2023 | 2009-05-06 |
| Street Address |
1136 N MOUNT VERNON AVE SPC 202-203 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| 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 |
|---|---|---|---|---|
| 1316583321 | Min Chul Jung Dds Inc | Dentist | 1535 E Highland Ave Ste F, San Bernardino, CA 92404-4682 | 2019-11-25 |
| 1598239170 | James Myung Ju Kim Dds Inc | Dentist | 1136 N Mount Vernon Ave Ste 202-203, San Bernardino, CA 92411-2279 | 2019-01-16 |
| 1891210001 | Jordan Koji Higa | Dentist | 1047 Harriman Pl Ste B, San Bernardino, CA 92408-4203 | 2017-08-08 |
| 1669833810 | Azadeh Afzali D.d.s, Inc. | Dentist | 1918 Business Center Dr Ste 210, San Bernardino, CA 92408-3441 | 2016-03-16 |
| 1326408261 | Allure Dental | Dentist | 1353 W Mill St, San Bernardino, CA 92410-2244 | 2016-03-04 |
| 1205227386 | Julia Jungin Park | Dentist | 2526 S Young Ct, San Bernardino, CA 92408-4197 | 2015-02-11 |
| 1265834105 | Louis J. Amendola Dds, Inc. | Dentist | 2094 E Highland Ave, San Bernardino, CA 92404-4626 | 2014-09-23 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1174943476 | Brenda E Miller, Dds Apc | Dentist | 570 S Mount Vernon Ave Ste E, San Bernardino, CA 92410-2737 | 2014-04-25 |
| 1003235631 | Nick L. Le | Dentist | 1848 Commercenter E # 3406, San Bernardino, CA 92408-3406 | 2014-04-10 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on HYUNG-JU JOHN KIM DDS INC.
| 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.