JIN TAE KIM (NPI# 1437258423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437258423 |
| Entity Type | Individual |
| Full Name | JIN TAE KIM |
| Credential | DDS |
| Practice Address |
2605 Eastern Ave #2 Sacramento CA 95821-6614 |
| Practice Telephone | 9164813234 |
| Practice Fax Number | 9164814101 |
| Mailing Telephone | 9164813234 |
| Mailing Fax Number | 9164814101 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 33304 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1801370093 | Jin Hyun Kim | Acupuncturist | 332 Route 100 Ste 2, Somers, NY 10589-3259 | 2018-09-24 |
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1740518174 | Jin Kuen Kim | Acupuncturist | 503 N Pacific Coast Hwy, Redondo Beach, CA 90277-2104 | 2009-11-23 |
| 1629209341 | Jin Young Kim | Dentist | 5811 Pine Ave Ste B, Chino Hills, CA 91709-6541 | 2009-07-29 |
| 1649412719 | Jin Hwan Kim | Pharmacy Technician | 856 Stockbridge Dr, Hockessin, DE 19707-1431 | 2009-04-03 |
| 1306002480 | Jin Koo Kim | Dentist | 19 Demarco Rd, Sudbury, MA 01776-2019 | 2008-07-29 |
| 1588825418 | Jin Kim | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2008-06-23 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| Street Address |
2605 EASTERN AVE #2 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467668376 | Jin T. Kim Dmd, Inc | Dentist | 2605 Eastern Ave, #2, Sacramento, CA 95821-6614 | 2007-05-15 |
| 1548313984 | Kevin Michael Keane | Dentist | 2605 Eastern Ave, Suite #4, Sacramento, CA 95821 | 2007-01-19 |
| 1720135361 | Tate Robert Stimpson | Dentist | 2605 Eastern Ave, Suite 5, Sacramento, CA 95821-6614 | 2007-01-05 |
| 1386731685 | Eric Wong | Dentist | 2605 Eastern Ave, Suite 2, Sacramento, CA 95821-6614 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| 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 |
|---|---|---|---|---|
| 1679180178 | Shraddha Swain | Dentist | 1164 National Dr Ste 40, Sacramento, CA 95834-1925 | 2020-09-28 |
| 1447867197 | Yasmine Taylor Puentes | Dentist | 1428 U St, Sacramento, CA 95818-1489 | 2020-09-27 |
| 1396375812 | Euridise Munoz De Anda | Dentist | 3311 Watt Ave Ste A, Sacramento, CA 95821-3617 | 2020-01-23 |
| 1114577343 | Ahmad Mokbil Dds Inc | Dentist | 992 Florin Rd, Sacramento, CA 95831-3515 | 2019-09-19 |
| 1538722798 | Yun Hwan Oh Dental Corporation | Dentist | 3521 Arden Way Ste 101, Sacramento, CA 95864-2911 | 2019-04-15 |
| 1093289621 | Western Dental Services, Inc. | Dentist | 3945 Marysville Blvd Ste 1-2, Sacramento, CA 95838-3762 | 2019-01-16 |
| 1659860690 | S.y.y Jang Dds Corp | Dentist | 3433 Arden Way Ste C, Sacramento, CA 95825-2018 | 2018-05-04 |
| 1992213623 | Lee Lo | Dentist | 719 Roundtree Ct, Sacramento, CA 95831-2678 | 2018-01-16 |
| 1982123279 | Gill Bautista and Lopez Dental Corporation | Dentist | 8204 Delta Shores Cir S Ste 140, Sacramento, CA 95832-9101 | 2017-09-18 |
| 1609391549 | Sooraj Singh | Dentist | 1007 Rio Cidade Way, Sacramento, CA 95831-4467 | 2017-08-11 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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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.