JUSTIN KIM (NPI# 1427669290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427669290 |
| Entity Type | Individual |
| Full Name | JUSTIN KIM |
| Practice Address |
12218 Apple Valley Rd Ste 110 Apple Valley CA 92308-1704 |
| Mailing Address |
27431 San Bernardino Ave Apt 209 Redlands CA 92374-5084 |
| Practice Telephone | 2535613640 |
| Mailing Telephone | 2535613640 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS105138 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421666 | Justin Howoong Kim | Acupuncturist | 13 Overlook Trl, Apt.1323, Peabody, MA 01960-3895 | 2016-08-08 |
| 1811353857 | Justin Kim | Optometrist | 1350 Galaxy Dr Ne, Lacey, WA 98516-4757 | 2016-01-06 |
| 1114348265 | Justin E Kim | Dentist | 11140 Mesquite Ave, Loma Linda, CA 92354-6556 | 2013-12-16 |
| 1336308451 | Justin Jungchul Kim | Acupuncturist | 15132 S Western Ave, Gardena, CA 90249-4313 | 2008-06-04 |
| 1043489248 | Justin Taehwan Kim | Surgery | 7500 Kirby Dr, #1523, Houston, TX 77030-4300 | 2008-02-21 |
| 1194718114 | Justin M Kim | Optometrist | 130 Norris Ln, Boerne, TX 78006-2893 | 2005-08-24 |
| 1043810674 | Justin Kim | Social Worker | 426 Atlantic Ave, East Rockaway, NY 11518-1431 | 2020-11-01 |
| 1447858766 | Justin Yunouk Kim | Dentist | 301 E Buena Vista St, Barstow, CA 92311-2803 | 2020-10-09 |
| 1194383950 | Justin Kim | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-06-05 |
| 1386128437 | Justin Sungmin Kim | Registered Nurse | 900 23rd St Nw, Washington, DC 20037-2342 | 2018-09-24 |
| Street Address |
12218 APPLE VALLEY RD STE 110 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659814440 | Andrew Taylor | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2016-11-28 |
| 1073096905 | Xiaofei Teng | Dentist | 12218 Apple Valley Rd Ste 110, Apple Valley, CA 92308-1704 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| 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 |
|---|---|---|---|---|
| 1457901696 | Eric Bryan Fu | Dentist | 18245 Outer Hwy 18 Ste 3, Apple Valley, CA 92307-2217 | 2019-09-19 |
| 1023504560 | Grant Joseph Schmura | Dentist | 15875 Emperor Ave Ste 100, Apple Valley, MN 55124-7860 | 2018-07-09 |
| 1124558143 | Dexter Dental Group | Dentist | 19195 Outer Hwy 18 Suite 201, Apple Valley, CA 92307-9230 | 2017-06-13 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1659752731 | Taehoon Park Dds Inc | Dentist | 20162 Us Highway 18 Ste L, Apple Valley, CA 92307-2935 | 2015-06-15 |
| 1972902518 | Kalra Dental Corporation | Dentist | 18805 Bear Valley Rd Ste 4, Apple Valley, CA 92308-2728 | 2014-08-20 |
| 1386883353 | Marifi Maghari Pipkin,dds,inc. | Dentist | 13675 Niabi Rd, Ste. 3, Apple Valley, CA 92308-6516 | 2009-02-13 |
| 1245482223 | Joy Marie Helou | Dentist | 16098 Kamana Rd, #101, Apple Valley, CA 92307 | 2008-10-21 |
| 1184882425 | Eric Joseph Sandoval | Dentist | 22749 Us Highway 18, Suite A-1, Apple Valley, CA 92307-4303 | 2008-05-22 |
| 1356508337 | Miriam Angelina Enriquez | Dentist | 12291 Apple Valley Rd, Apple Valley, CA 92308-1701 | 2008-05-19 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
Please comment or provide details below to improve the information on JUSTIN KIM.
| 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.