JINSAM KWON (NPI# 1306981022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306981022 |
| Entity Type | Individual |
| Full Name | JINSAM KWON |
| Practice Address |
16515 Meridian E Suite 100b Puyallup WA 98375-6251 |
| Practice Telephone | 2537700198 |
| Practice Fax Number | 2537701166 |
| Mailing Telephone | 2537700198 |
| Mailing Fax Number | 2537701166 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9983 | WA | Dental Providers |
| Street Address |
16515 MERIDIAN E SUITE 100B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738258 | Kristin K O'brien | Massage Therapist | 16515 Meridian E, Ste 103b, Puyallup, WA 98375-6251 | 2005-08-25 |
| 1033757620 | Jamie M Nelson | Massage Therapist | 16515 Meridian E, Puyallup, WA 98375-6251 | 2019-12-15 |
| 1255788469 | Erica Gold | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2016-05-17 |
| 1740636679 | Anahi M Hurtado | Mechanotherapist | 16515 Meridian E, 103b, Puyallup, WA 98375-6251 | 2016-05-10 |
| 1699143057 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 16515 Meridian E, Suite 203b, Puyallup, WA 98375-6251 | 2015-09-02 |
| 1033585260 | Michael Manning | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2015-08-11 |
| 1104208040 | Ryan Summers | Physical Therapist | 16515 Meridian E, Suite 202b, Puyallup, WA 98375-6251 | 2015-06-27 |
| 1528446200 | Kimberly Tevis | Specialist/Technologist | 16515 Meridian E, Suite 202b, Puyallup, WA 98375-6251 | 2015-05-13 |
| 1669878336 | Phillip Daniel Scalise | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2014-11-07 |
| 1205244258 | Danielle Nicole Dillion | Massage Therapist | 16515 Meridian E, Suite 103b, Puyallup, WA 98375-6251 | 2014-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| 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 |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1083269682 | Breinn Ashley Bertrand | Dentist | 13613 Meridian E Ste 180, Puyallup, WA 98373-3664 | 2019-08-09 |
| 1164919981 | Puyallup Park Dental | Dentist | 13909 Meridian E Ste A1, Puyallup, WA 98373-9180 | 2018-04-17 |
| 1033614276 | Violeta Atanasova Stoyanova | Dentist | 12005 Meridian E Ste 102, Puyallup, WA 98373-3423 | 2018-03-29 |
| 1013367150 | Gibran Hyder | Dentist | 8012 112th Street Ct E Ste 320, Puyallup, WA 98373-7856 | 2016-06-20 |
| 1083076996 | D.l. Vanderschelden, Dds, PC | Dentist | 18710 Meridian E Ste 216, Puyallup, WA 98375-2231 | 2016-03-22 |
| 1558786145 | Abedi Advanced Family Dentistry Pllc | Dentist | 803 39th Ave Sw Ste E, Puyallup, WA 98373-3692 | 2014-02-19 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1598041535 | Han & Nigam Dmd Pllc | Dentist | 2321 Meridian St S, Puyallup, WA 98373-1554 | 2011-10-21 |
| Find all providers in PUYALLUP | ||||
Please comment or provide details below to improve the information on JINSAM KWON.
| 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.