JIN T. KIM DMD, INC (NPI# 1467668376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467668376 |
| Entity Type | Organization |
| Organization Name | JIN T. KIM DMD, INC |
| Practice Address |
2605 Eastern Ave #2 Sacramento CA 95821-6614 |
| Mailing Address |
2605 Easterm Ave #2 Sacramento CA 95821 |
| Practice Telephone | 9164813234 |
| Practice Fax Number | 9164814101 |
| Mailing Telephone | 9164813234 |
| Mailing Fax Number | 9164814101 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | DR. JIN T KIM (OWNER) |
| Authorized Official Telephone | 9164813234 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33304 | CA | Dental Providers |
| Street Address |
2605 EASTERN AVE #2 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437258423 | Jin Tae Kim | Dentist | 2605 Eastern Ave, #2, Sacramento, CA 95821-6614 | 2006-09-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1639784424 | Jonathan Robert Hayes | Dentist | 605 Commons Dr, Sacramento, CA 95825-6633 | 2020-09-09 |
| 1942814512 | Karisa Yamamoto | Dentist | 786 Still Breeze Way, Sacramento, CA 95831-5548 | 2020-09-01 |
| 1659981447 | Michael Steven Louie | Dentist | 7608 Bridgeview Dr, Sacramento, CA 95831-4235 | 2020-08-05 |
| 1902426950 | Yen Hai Nguyen | Dentist | 5870 Da Vinci Way, Sacramento, CA 95835-2326 | 2020-04-20 |
| 1598302432 | Alix Angelica Torres | Dentist | 7227 29th St Ste C, Sacramento, CA 95822-5005 | 2019-12-10 |
| 1912558289 | Yevhen Usachov | Dentist | 6175 Stockton Blvd Ste 260, Sacramento, CA 95824-4521 | 2019-09-26 |
| 1982250171 | Michelle Fat | Dentist | 99 Scripps Dr Ste 100, Sacramento, CA 95825-6317 | 2019-08-13 |
| 1639737414 | Katherine Co Tan | Dentist | 7850 Stockton Blvd Ste 160, Sacramento, CA 95823-4387 | 2019-06-05 |
| 1992362792 | Barnes Dentral Group, Inc | Dentist | 701 Howe Ave Ste B34, Sacramento, CA 95825-4604 | 2019-05-28 |
| 1679039960 | Reymond Bautista Dental Corporation | Dentist | 3640 Crocker Ave Ste 130, Sacramento, CA 95818-3970 | 2019-02-12 |
| 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.