MR. CHAN-KYU KIM (NPI# 1215203724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215203724 |
| Entity Type | Individual |
| Full Name | MR. CHAN-KYU KIM |
| Other Name | JOHN C. KIM |
| Credential | DMD |
| Practice Address |
709 Bergen Blvd. Ridgefield NJ 07657 |
| Practice Telephone | 2013130500 |
| Practice Fax Number | 2013130500 |
| Mailing Telephone | 2013130500 |
| Mailing Fax Number | 2013130500 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI01625400 | NJ | Dental Providers |
| Street Address |
709 BERGEN BLVD. |
| City | RIDGEFIELD |
| State | NJ |
| Zip Code | 07657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508383308 | Ridgefield Board of Education | Respite Care | 555 Chestnut Street, Ridgefield, NJ 07657 | 2017-08-23 |
| 1871035154 | Nj Happy Care, Inc. | Durable Medical Equipment & Medical Supplies | 321 Broad Ave Suite 106, Ridgefield, NJ 07657 | 2016-11-17 |
| 1871775940 | Borough of Ridgefield | Public Health or Welfare | Slocum Avenue, Ridgefield, NJ 07657 | 2007-11-30 |
| 1932321759 | Dongkyun Daniel Kim | Dentist | 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 | 2007-05-02 |
| 1992880413 | Walter E Haemmerle | Dentist | 845 Broad Ave, Ridgefield, NJ 07657 | 2006-10-25 |
| 1548279482 | Dennis Barbieri | Dentist | 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 | 2006-08-07 |
| 1861406746 | Agop Artinian | Internal Medicine | 477 Bergen Blvd, Ridgefield, NJ 07657 | 2006-07-28 |
| 1366969701 | Steven Jin | Acupuncturist | 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 | 2017-08-26 |
| 1578000196 | Park Dental Arts, LLC | Dentist | 560 Bergen Blvd, Ridgefield, NJ 07657 | 2017-01-20 |
| 1518366426 | Cliffside Labs L.L.C. | Clinical Medical Laboratory | 579 Bergen Blvd, Ridgefield, NJ 07657 | 2014-08-15 |
| Find all providers in zip 07657 | ||||
| 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 |
|---|---|---|---|---|
| 1174020630 | Home Town Dental Inc | Dentist | 31 Bailey Ave Ste C, Ridgefield, CT 06877-4533 | 2018-04-11 |
| 1962902221 | Kelsey Lauren Jones | Dentist | 65 Danbury Rd, Ridgefield, CT 06877-4003 | 2018-02-13 |
| 1679022503 | Shabab Naqvi | Dentist | 480 Linden Ct, Ridgefield, NJ 07657-2428 | 2016-10-04 |
| 1013344498 | Jordan Anderson | Dentist | 5807 Nw 166th St, Ridgefield, WA 98642-8553 | 2013-10-01 |
| 1710325675 | Dennis Herbert Gillespie | Dentist | 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 | 2013-06-12 |
| 1598057804 | Kenneth Harrison Schrecengost | Dentist | 2217 Ne 179th St, #42, Ridgefield, WA 98642-8614 | 2011-05-04 |
| 1164734372 | Ashfaq Ahmad | Dentist | 890 Ethan Allen Hwy, Ridgefield, CT 06877-2843 | 2010-07-06 |
| 1184876815 | Raffi Kaprielian | Dentist | 432 Bergen Blvd, Suite C, Ridgefield, NJ 07657-2895 | 2008-10-13 |
| 1306001656 | Jungmin Esther Han | Dentist | 605 Broad Ave Ste 203, Ridgefield, NJ 07657-1604 | 2008-07-25 |
| 1083880843 | Michael Joseph Pizzo | Dentist | 42 Danbury Rd, Ridgefield, CT 06877-4019 | 2008-05-01 |
| Find all providers in RIDGEFIELD | ||||
| City | RIDGEFIELD |
| Zip Code | 07657 |
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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.