DR. MICHAEL JUNG KIM (NPI# 1265904114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265904114 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JUNG KIM |
| Credential | DDS |
| Practice Address |
1530 Broadway Oakland CA 94612-2002 |
| Practice Telephone | 5102511000 |
| Mailing Telephone | 5102511000 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 103410 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
| 1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
| 1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
| 1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
| 1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
| Street Address |
1530 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164581088 | Mandip Kaur Chhina | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2006-12-06 |
| 1679095681 | Peggy Pei Ju Chuang | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2017-07-11 |
| 1679764765 | Kelie Kang | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2007-08-05 |
| 1477758985 | Quy Thi Nguyen | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2007-06-15 |
| 1508992819 | Priyadarshini Jamsandekar | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2007-02-23 |
| 1598819740 | Mohammad Khandaqji | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2007-01-23 |
| 1316096878 | Severino S Encanrancion | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2007-01-10 |
| 1871650473 | Marianne Wolford | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2007-01-02 |
| 1154485654 | Western Dental Services, Inc. | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2006-12-20 |
| 1992864227 | Dora Chan | Dentist | 1530 Broadway, Oakland, CA 94612-2002 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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 |
|---|---|---|---|---|
| 1346862166 | Tiffany L Sum | Dentist | 1411 E 31st St Bldg E2, Oakland, CA 94602-1092 | 2020-05-14 |
| 1427607910 | Karen Chong | Dentist | 3040 E 9th St Ste D, Oakland, CA 94601-2938 | 2019-09-06 |
| 1548817323 | Dr. Choi, Dmd, Inc. | Dentist | 3511 International Blvd, Oakland, CA 94601-3521 | 2019-08-26 |
| 1447818760 | Eric Daniel Deschenes | Dentist | 6200 Antioch St Ste 201, Oakland, CA 94611-2954 | 2019-06-01 |
| 1154801439 | Tao Zhou | Dentist | 125 2nd St Apt 806, Oakland, CA 94607-4568 | 2018-08-16 |
| 1568957157 | Carmen Ruth | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-06-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1093233454 | Scott Yoo Dds Dental Corp | Dentist | 2710 Telegraph Ave Ste 250, Oakland, CA 94612-1776 | 2017-09-06 |
| 1093246795 | Said Jalil Sadri | Dentist | 5939 La Salle Ave, Oakland, CA 94611-3225 | 2017-03-23 |
| 1841651635 | Phillip Wayne Olrich | Dentist | 407 41st St, Oakland, CA 94609-2510 | 2016-03-08 |
| Find all providers in OAKLAND | ||||
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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.