DR. MINJE KIM (NPI# 1356901953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356901953 |
| Entity Type | Individual |
| Full Name | DR. MINJE KIM |
| Credential | DMD |
| Practice Address |
1500 Walnut St Ste 600 Philadelphia PA 19102-3516 |
| Mailing Address |
4111 Walnut St Apt 609 Philadelphia PA 19104-3538 |
| Practice Telephone | 2157321403 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS042168 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477936532 | Minje Kim | Nurse Practitioner | 26 Tower Rd Ne, Marietta, GA 30060-6947 | 2015-07-07 |
| Street Address |
1500 WALNUT ST STE 600 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063862589 | Lauren Elise Belous | Dentist | 1500 Walnut St Ste 600, Philadelphia, PA 19102-3504 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
| 1427412691 | Alan Morris Barnett | Dentist | 7601 Castor Avenue., Suite #302, Philadelphia, PA 19152-4027 | 2016-04-13 |
| 1336434919 | Casandra Lee Tessaro | Dentist | 3131 Walnut St, 205, Philadelphia, PA 19104-3415 | 2011-06-13 |
| 1821308487 | Edward M. Segal, D.d.s., Associates | Dentist | 6508 Ridgeavenue, Philadelphia, PA 19128 | 2010-10-18 |
| 1073835005 | Kuo-wei Lin | Dentist | 1601 Walnunt Street, Suite 402, Philadelphia, PA 19102 | 2010-02-18 |
| 1790706778 | Premier Endodontics, PC | Dentist | 4101 Tyson Ave, Philadelphia, PA 19135-1615 | 2006-07-22 |
| 1316985864 | Alan M Barnett Bds Associates | Dentist | 7601 Castor Avenue, Suite 302, Philadelphia, PA 19152-4026 | 2006-06-04 |
| 1164023800 | Nasim Levin | Dentist | 240 S 40th St, Philadelphia, PA 19104-6030 | 2020-11-07 |
| 1386252070 | Maria Jun | Dentist | 3223 N Broad St, Philadelphia, PA 19140-5007 | 2020-07-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.