DR. SARAH SOONYOUNG KIM (NPI# 1407048192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407048192 |
| Entity Type | Individual |
| Full Name | DR. SARAH SOONYOUNG KIM |
| Credential | D.D.S. |
| Practice Address |
5225 Canyon Crest Dr Ste 309 Riverside CA 92507-6324 |
| Mailing Address |
11467 Via Capri Loma Linda CA 92354-3853 |
| Practice Telephone | 9093802544 |
| Mailing Telephone | 3106143593 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 56036 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000430 | Sarah Kim | Pharmacist | 12745 Galveston Ct, Manassas, VA 20112-8675 | 2020-10-15 |
| 1457969313 | Sarah Kim | Technician/Technologist | 1440 Kapiolani Blvd Ste 1212, Honolulu, HI 96814-3618 | 2020-07-16 |
| 1063038107 | Sarah Kim | Physician Assistant | 6598 Eucalyptus Ave, Chino, CA 91710-0115 | 2020-06-24 |
| 1508495672 | Sarah Y Kim | Student in an Organized Health Care Education/Training Program | 13105 40th Rd Apt Ph3c, Flushing, NY 11354-5188 | 2020-04-02 |
| 1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
| 1205489358 | Sarah Kim | Acupuncturist | 25 Amelia Dr, Old Tappan, NJ 07675-6913 | 2019-07-18 |
| 1619367240 | Sarah Kim | Pharmacy Technician | 10315 Malcolm Cir Apt E, Cockeysville, MD 21030-3999 | 2015-02-03 |
| 1902225964 | Sarah Kim | Pharmacist | 3500 W 6th St Ste 120, Los Angeles, CA 90020-5801 | 2014-04-07 |
| 1306278346 | Sarah Y Kim | Optometrist | 501 N Rte 17, Paramus, NJ 07652-3000 | 2013-08-01 |
| 1659618031 | Sarah Young Kim | Optometrist | 4027 Macpheadris Way, El Dorado Hills, CA 95762-7541 | 2013-01-06 |
| Street Address |
5225 CANYON CREST DR STE 309 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1003431834 | Tina Cho Dmd Inc | Dentist | 6160 Arlington Ave Ste D4, Riverside, CA 92504-1900 | 2020-06-08 |
| 1982181012 | Sam Tehrani | Dentist | 3297 Arlington Ave Ste 101, Riverside, CA 92506-3250 | 2018-07-21 |
| 1851878045 | Maria Jesus Tagle-castro Parsa | Dentist | 5800 Van Buren Blvd Ste 110, Riverside, CA 92503-9031 | 2018-07-20 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1104348960 | Hochan Hwang | Dentist | 1212 E Putnam Ave Ste 2, Riverside, CT 06878-1431 | 2017-07-13 |
| 1699214155 | Shining Smiles Riverside Inc. | Dentist | 2720 Harlem Ave, Riverside, IL 60546-1738 | 2017-02-16 |
| 1629510458 | Seung M Kang & Lloyd Trieu Dds, Inc. | Dentist | 17942 Van Buren Blvd, Riverside, CA 92508-9255 | 2016-11-10 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| 1972952448 | Hieu Trung Mai | Dentist | 11695 Slate Ave Ste 200, Riverside, CA 92505-5197 | 2016-06-06 |
| Find all providers in RIVERSIDE | ||||
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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.