DR. KATIE Y. KIM (NPI# 1336288893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336288893 |
| Entity Type | Individual |
| Full Name | DR. KATIE Y. KIM |
| Practice Address |
1199 N E St San Bernardino CA 92410-3507 |
| Mailing Address |
2116 Owens Dr. Fullerton CA 92833 |
| Practice Telephone | 9093816507 |
| Practice Fax Number | 9093819517 |
| Mailing Telephone | 9093816507 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 54464 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | D54464 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548631013 | Katie Kim | Pharmacist | 7170 San Carmela Ct, Rancho Cucamonga, CA 91739-1874 | 2015-10-09 |
| 1518047208 | Katie Y Kim | Pharmacist | Ms. Susanne C. Shetrone, Credentials Coordinator, Apo, AP 96205-0054 | 2006-10-17 |
| 1023624541 | Katie Joohee Kim | Dentist | 935 Riverdale St, West Springfield, MA 01089-4656 | 2020-09-21 |
| 1922624865 | Katie Lauren Kim | Physician Assistant | 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | 2020-06-16 |
| 1467918508 | Katie Kim | Student in an Organized Health Care Education/Training Program | 4401 Penn Ave, 3rd Floor Bear Pod, Pittsburgh, PA 15224-1334 | 2019-02-13 |
| 1205259652 | Katie Joohee Kim | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-01-21 |
| 1174964845 | Katie Ruble Kim | Physician Assistant | 301 E Hillcrest Ave, Indianola, IA 50125-9027 | 2013-07-10 |
| 1467621300 | Katie D Kim | Pharmacist | 19 Ave At Port Imperial, West New York, NJ 07093 | 2008-02-25 |
| 1164579447 | Katie H Kim | Dentist | 2505 S 320th St, Federal Way, WA 98003-5400 | 2007-01-05 |
| Street Address |
1199 N E ST |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457413973 | Western Dental Services, Inc. | Dentist | 1199 N E St, San Bernardino, CA 92410-3507 | 2006-12-14 |
| 1073920377 | Tzu-fei Chang | Dentist | 1199 N E St, San Bernardino, CA 92410-3507 | 2014-07-18 |
| 1386782985 | Tam K. Tran | Dentist | 1199 N E St, San Bernardino, CA 92410-3507 | 2007-02-03 |
| 1275695553 | Yintawati A Satyarahardja | Dentist | 1199 N E St, San Bernardino, CA 92410-3507 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| 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 |
|---|---|---|---|---|
| 1316583321 | Min Chul Jung Dds Inc | Dentist | 1535 E Highland Ave Ste F, San Bernardino, CA 92404-4682 | 2019-11-25 |
| 1598239170 | James Myung Ju Kim Dds Inc | Dentist | 1136 N Mount Vernon Ave Ste 202-203, San Bernardino, CA 92411-2279 | 2019-01-16 |
| 1891210001 | Jordan Koji Higa | Dentist | 1047 Harriman Pl Ste B, San Bernardino, CA 92408-4203 | 2017-08-08 |
| 1669833810 | Azadeh Afzali D.d.s, Inc. | Dentist | 1918 Business Center Dr Ste 210, San Bernardino, CA 92408-3441 | 2016-03-16 |
| 1326408261 | Allure Dental | Dentist | 1353 W Mill St, San Bernardino, CA 92410-2244 | 2016-03-04 |
| 1154796043 | Hyung-ju John Kim Dds Inc | Dentist | 1136 N Mount Vernon Ave Spc 202-203, San Bernardino, CA 92411-2279 | 2015-12-03 |
| 1205227386 | Julia Jungin Park | Dentist | 2526 S Young Ct, San Bernardino, CA 92408-4197 | 2015-02-11 |
| 1265834105 | Louis J. Amendola Dds, Inc. | Dentist | 2094 E Highland Ave, San Bernardino, CA 92404-4626 | 2014-09-23 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1174943476 | Brenda E Miller, Dds Apc | Dentist | 570 S Mount Vernon Ave Ste E, San Bernardino, CA 92410-2737 | 2014-04-25 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
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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.