DR. MITCHELL KIM (NPI# 1437275047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437275047 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL KIM |
| Credential | D.D.S. |
| Practice Address |
3610 Shire Blvd Suite 204 Richardson TX 75082-2241 |
| Practice Telephone | 9725786633 |
| Practice Fax Number | 9725786637 |
| Mailing Telephone | 9725786633 |
| Mailing Fax Number | 9725786637 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22246 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144752122 | Mitchell Kim | Student in an Organized Health Care Education/Training Program | 317 George St, New Brunswick, NJ 08901-2008 | 2017-03-30 |
| 1740523257 | Mitchell Kim | Emergency Medicine | 325 9th Ave, Box 359702, 1ct89, Seattle, WA 98104-2420 | 2013-04-03 |
| Street Address |
3610 SHIRE BLVD SUITE 204 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780998443 | Modern Dental | Clinic/Center | 3610 Shire Blvd, Suite 204, Richardson, TX 75082-2241 | 2010-08-04 |
| 1235333741 | Stephen M Chan | Oral & Maxillofacial Surgery | 3610 Shire Blvd, Suite 200, Richardson, TX 75082 | 2007-06-11 |
| 1326241928 | Aidan N Phan | Oral & Maxillofacial Surgery | 3610 Shire Blvd, Suite 200, Richardson, TX 75082 | 2007-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| 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 |
|---|---|---|---|---|
| 1194377762 | Casa Mossman Dental Pllc | Dentist | 670 W Campbell Rd Ste 160, Richardson, TX 75080-3384 | 2019-07-12 |
| 1669039962 | Mint Dentistry, Pllc | Dentist | 3551 Wilshire Way Ste 500, Richardson, TX 75082-3390 | 2019-05-22 |
| 1609439181 | Praise Dental, Pllc | Dentist | 2000 N Plano Rd Ste 106, Richardson, TX 75082-4402 | 2019-04-19 |
| 1255891669 | Mint Dentistry, Pllc | Dentist | 4251 E Renner Rd Ste 126, Richardson, TX 75082-2753 | 2019-03-21 |
| 1043706435 | Blanca Dental Pllc | Dentist | 670 W Campbell Rd Ste 110, Richardson, TX 75080-3361 | 2018-07-09 |
| 1871086025 | Nazayat Parvez | Dentist | 700 E Campbell Rd Ste 240, Richardson, TX 75081-2042 | 2018-06-12 |
| 1811407828 | Fluellen Roberts Family Dentistry, Pllc | Dentist | 1050 W Campbell Rd Ste 200, Richardson, TX 75080-2981 | 2017-10-04 |
| 1174044895 | Rebecka Kay Haats | Dentist | 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 | 2017-07-03 |
| 1730639766 | Maxey Stanton Buchwald Jr. | Dentist | 300 N Coit Rd Ste 245, Richardson, TX 75080-6261 | 2016-10-13 |
| 1679950851 | Laxmi Sai Dental Pllc | Dentist | 300 S Cottonwood Drive, Suite B, Richardson, TX 75080 | 2015-04-27 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
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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.