DAE HO KIM (NPI# 1275869000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275869000 |
| Entity Type | Individual |
| Full Name | DAE HO KIM |
| Credential | DDS |
| Practice Address |
5929 Evergreen Way Ste 100 Everett WA 98203-6031 |
| Practice Telephone | 4253534469 |
| Practice Fax Number | 4253485216 |
| Mailing Telephone | 4253534469 |
| Mailing Fax Number | 4253485216 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60307878 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 019027981 | 05 |
| Street Address |
5929 EVERGREEN WAY STE 100 |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| 1700494747 | Hwang Ghorbanian Im II Dds Ps | Dentist | 111 Se Everett Mall Way Ste B100, Everett, WA 98208-3208 | 2020-07-15 |
| 1467946376 | Quirt, Mongrain, Gibree, P.C. | Dentist | 10025 19th Ave Se Ste 200, Everett, WA 98208-4275 | 2018-06-15 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1003176512 | Phuongdao Dmd LLC | Dentist | 910 Broadway Fl 1, Everett, MA 02149-3126 | 2012-05-18 |
| 1578727269 | Atkinson & Kaopua, Ps | Dentist | 111 Se Everett Mall Way Ste D, Everett, WA 98208-3208 | 2008-07-11 |
| 1942468004 | Kee Nam Kim | Dentist | 10303 19th Ave Se Ste A, Everett, WA 98208-4265 | 2008-05-27 |
| 1609061886 | Dr Peter A Capodlilupo Dds P.C. | Dentist | 563 Broadway Ste 21, Everett, MA 02149-3749 | 2007-09-11 |
| 1124223755 | Phuong Thi Dao | Dentist | 910 Broadway, 1, Everett, MA 02149-3126 | 2007-06-14 |
| 1083827596 | C.kim & Y.kim, Dds, Ps | Dentist | 13410 Highway 99 Ste 202, Everett, WA 98204-5454 | 2007-05-08 |
| Find all providers in EVERETT | ||||
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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.