YEUN JOO KIM (NPI# 1396171526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396171526 |
| Entity Type | Individual |
| Full Name | YEUN JOO KIM |
| Credential | D.D.S. |
| Practice Address |
9 Arete Court Hercules CA 94547 |
| Practice Telephone | 8583375451 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 62779 | CA | Dental Providers |
| Street Address |
9 ARETE COURT |
| City | HERCULES |
| State | CA |
| Zip Code | 94547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| 1992859409 | David Shen Dental Corp | Dentist | 500 Alfred Nobel Drive #125, Hercules, CA 94547 | 2007-01-22 |
| Find all providers in zip 94547 | ||||
| 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 |
|---|---|---|---|---|
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1487864492 | Elmer De Leon | Dentist | 1581 Sycamore Ave, Suite 3, Hercules, CA 94547-1700 | 2007-05-22 |
| 1275654394 | Tuong-van Hyland | Dentist | 500 Alfred Nobel Dr Ste 240, Hercules, CA 94547-1840 | 2007-04-03 |
| 1841363264 | Namrata Bhullar | Dentist | 500 Alfred Nobel Dr Ste 180, Hercules, CA 94547-1842 | 2006-11-15 |
| 1710902663 | Maria L Carpio | Dentist | 1572 Sycamore Ave Ste G, Hercules, CA 94547-1772 | 2006-07-13 |
| 1154751220 | Zander Lin Dental Corporation | Dentist | 1581 Sycamore Ave, Ste 3, Hercules, CA 94547-1700 | 2013-11-26 |
| 1578817961 | Douglas Lin, Dds, Inc | Dentist | 500 Alfred Nobel Dr, Suite 130, Hercules, CA 94547-1838 | 2012-11-06 |
| 1750519682 | North Shore Dental LLC | Dentist | 500 Alfred Nobel Dr., Suite 240, Hercules, CA 94547 | 2009-06-30 |
| 1023145273 | Ashley Huong Ho | Dentist | 500 Alfred Nobel Dr, Suite # 165, Hercules, CA 94547-1838 | 2007-02-27 |
| 1285776336 | Betty J. Fong Dds, A Professional Corporation | Dentist | 500 Alfred Nobel Dr, Suite 240, Hercules, CA 94547-1838 | 2007-02-13 |
| Find all providers in HERCULES | ||||
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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.