DR. SCOTT KIM (NPI# 1487701447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487701447 |
| Entity Type | Individual |
| Full Name | DR. SCOTT KIM |
| Credential | DDS |
| Practice Address |
1430 E Main St Suite 103 Santa Maria CA 93454-4809 |
| Mailing Address |
552 Paseo St Arroyo Grande CA 93420-7156 |
| Practice Telephone | 8059252545 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48482 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283614 | Scott Kim | Student in an Organized Health Care Education/Training Program | 8 Locksley Ave Apt 8m, San Francisco, CA 94122-3850 | 2019-03-04 |
| 1043656655 | Scott Seung Young Kim | Oral & Maxillofacial Surgery | 6201 Greenbelt Rd Ste M1, College Park, MD 20740-2358 | 2013-05-22 |
| 1588290738 | Scott H Kim | Pharmacist | 8887 Garden Grove Blvd, Garden Grove, CA 92844-1249 | 2020-03-19 |
| 1659864056 | Scott Hyuk Kim | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
| 1770850877 | Scott Kim | Pharmacist | 5802 W Broad St, Richmond, VA 23230-2659 | 2011-11-18 |
| 1164650461 | Scott Sang Won Kim | Anesthesiology | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2009-06-24 |
| 1518008804 | Scott Yung Kim | Internal Medicine | 5427 Whittier Blvd, Los Angeles, CA 90022-4101 | 2007-02-09 |
| 1477625895 | Scott Yung Ho Kim | Psychiatry & Neurology | 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2006-11-14 |
| 1548356108 | Scott Yong Jin Kim | Dentist | 4220 W 3rd St, Suite #101, Los Angeles, CA 90020-3450 | 2006-10-04 |
| Street Address |
1430 E MAIN ST SUITE 103 |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93454-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617942 | Michele M. Kielty | Pediatrics | 1430 E Main St, Suite 202, Santa Maria, CA 93454-4809 | 2006-02-13 |
| 1215111711 | Samira Kayumi-rashti | Pediatrics | 1430 E Main St, Suite 201, Santa Maria, CA 93454-4809 | 2007-12-20 |
| 1619096914 | Henry Yoshihiro Arakaki Jr. | Dentist | 1430 E Main St, Santa Maria, CA 93454-4809 | 2007-03-28 |
| 1720137680 | Sandeep P Anantani | Pharmacist | 1430 E Main St, Santa Maria, CA 93454-4809 | 2007-01-09 |
| 1124177084 | Sarita Esquivel Hidalgo | Pharmacy Technician | 1430 E Main St, Santa Maria, CA 93454-4809 | 2007-01-09 |
| 1487720397 | Charles Nelson Brannon | Dentist | 1430 E Main St, Suite 105, Santa Maria, CA 93454 | 2006-11-24 |
| 1396846507 | Shane D Rostermundt | Pediatrics | 1430 E Main St, 201, Santa Maria, CA 93454 | 2006-09-26 |
| 1811091952 | Pediatric Medical Group of Santa Maria Inc | Pediatrics | 1430 E Main St, #201, Santa Maria, CA 93454 | 2006-09-11 |
| 1720182868 | Joseph A Nunez | Pediatrics | 1430 E Main St, #201, Santa Maria, CA 93454 | 2006-09-11 |
| 1932203072 | David J Ikola | Pediatrics | 1430 E Main St, #201, Santa Maria, CA 93454 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164995825 | Virgilia Elizabeth Kennedy | Counselor | 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | 2019-01-05 |
| 1891290151 | Philbert Ramirez Pandac | Behavioral Analyst | 1016 East Maint Street, Santa Maria, CA 93454 | 2018-03-28 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| 1306357892 | Aklilu Joseph | Pharmacist | 1700 S. Bradley Rd, Santa Maria, CA 93454 | 2017-10-24 |
| 1225557267 | Eric Edward Lofstrand | Counselor | 1214 S Miller St Ste 11, Santa Maria, CA 93454 | 2017-09-11 |
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1730603705 | Cac Alvin Center | Counselor | 316 E Mcelhany Ave, Santa Maria, CA 93454 | 2017-08-01 |
| 1174045009 | Peter A. Statti Md Inc. | Pediatrics | 1414 S. Miller St. #12, Santa Maria, CA 93454 | 2017-07-12 |
| 1982143970 | Child Abuse Listening Mediation | Community/Behavioral Health | 210 E. Enos Dr., Ste. A, Santa Maria, CA 93454 | 2017-02-23 |
| 1821531344 | Maria Isabel Lara | Counselor | 210 E Enos Dr, Santa Maria, CA 93454 | 2016-12-01 |
| Find all providers in zip 93454 | ||||
| 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 |
|---|---|---|---|---|
| 1841807336 | Chanvattanak Bun | Dentist | 1212 Jackie Ln, Santa Maria, CA 93454-5926 | 2020-09-28 |
| 1326651548 | Clayton Ore Johnson | Dentist | 1315 S Miller St Ste 201, Santa Maria, CA 93454-6910 | 2020-08-27 |
| 1508410002 | Stuart Stephen Adam | Dentist | 125 E Stowell Rd Ste 103, Santa Maria, CA 93454-6681 | 2019-08-01 |
| 1477119956 | Steven G. Johnson Dental Corporation | Dentist | 745 E Betteravia Rd, Santa Maria, CA 93454-7024 | 2019-05-10 |
| 1336602408 | Jose Miguel Rodriguez Ramos | Dentist | 238 E Betteravia Rd, Santa Maria, CA 93454-7889 | 2019-04-07 |
| 1821555608 | Cho Dental Corporation | Dentist | 1418 E Main St Ste 110, Santa Maria, CA 93454-4836 | 2019-02-27 |
| 1265955884 | James P. Xing | Dentist | 1414 S Miller St Ste S, Santa Maria, CA 93454-6962 | 2017-07-25 |
| 1063879997 | Azadeh Rastikerdar | Dentist | 1846 N Broadway # B, Santa Maria, CA 93454-1447 | 2016-01-22 |
| 1700280948 | Bing S Qiao Dds Inc. | Dentist | 1414 S Miller St., Suite S, Santa Maria, CA 93454-6915 | 2014-10-17 |
| 1922231729 | Zen Dental Group | Dentist | 2050 S Broadway Ste E, Santa Maria, CA 93454-8801 | 2009-08-26 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93454 |
Please comment or provide details below to improve the information on DR. SCOTT 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.