DR. HEAWON LUDIA KIM (NPI# 1255533105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255533105 |
| Entity Type | Individual |
| Full Name | DR. HEAWON LUDIA KIM |
| Credential | D.M.D. |
| Practice Address |
1303 Packard St Ste 101 Ann Arbor MI 48104-3874 |
| Practice Telephone | 7347613116 |
| Practice Fax Number | 7347615263 |
| Mailing Telephone | 7347613116 |
| Mailing Fax Number | 7347615263 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901016885 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517707 | Heawon Kim | Optometrist | 9192 Regents Rd Apt E, La Jolla, CA 92037-1442 | 2020-08-05 |
| Street Address |
1303 PACKARD ST STE 101 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1659501021 | Fatima Ahmed | Dentist | 1173 Freesia Ct, Ann Arbor, MI 48105-1972 | 2009-07-20 |
| 1710191119 | Clement V Adams II | Dentist | 3081 Oak Valley Dr, Ann Arbor, MI 48103 | 2007-05-09 |
| 1508070962 | Ann Arbor Orthodontics | Dentist | 2084 S. Main Street, Ann Arbor, MI 48103 | 2007-05-09 |
| 1962624783 | Maria Lucia Pinzon | Dentist | 2084 S Main Street, Ann Arbor, MI 48103 | 2007-05-02 |
| 1720105471 | Laura Jean Edwards | Dentist | 3250 Plymouth Rd Ste 302, Ann Arbor, MI 48105-2552 | 2007-03-26 |
| 1346382140 | James A Mcnamara Dds Phd | Dentist | 321 N Ingalls St, Ann Arbor, MI 48104-1513 | 2007-02-12 |
| 1306922695 | Sondra Gunn | Dentist | 4 Eastbury Ct, Ann Arbor, MI 48105-1403 | 2006-10-28 |
| 1568553980 | Dr. George Ash, D.d.s., M.s., P.C. | Dentist | 5770 Warren Rd, Ann Arbor, MI 48105-9425 | 2006-09-28 |
| 1114434768 | Antonio Carlos De Oliveira Ruellas | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2018-01-04 |
| Find all providers in ANN ARBOR | ||||
Please comment or provide details below to improve the information on DR. HEAWON LUDIA KIM.
| 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.