JESSICA S. KIM (NPI# 1548473317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548473317 |
| Entity Type | Individual |
| Full Name | JESSICA S. KIM |
| Credential | DDS |
| Practice Address |
450 Cresson Blvd Suite 303 Oaks PA 19456 |
| Mailing Address |
282 Rivercrest Dr Phoenixville PA 19460-1063 |
| Practice Telephone | 6106769030 |
| Mailing Telephone | 2672584352 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS-030685-L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599360 | Jessica Kim | Counselor | 30 Eastbrook Rd Ste 303, Dedham, MA 02026-2084 | 2020-08-17 |
| 1558848127 | Jessica Kim | Chiropractor | 415 N Camden Dr Ste 204, Beverly Hills, CA 90210-4438 | 2018-07-25 |
| 1730691114 | Jessica Kim | Pharmacist | 1145 E Elmwood Ave, Burbank, CA 91501-1665 | 2017-10-25 |
| 1487053328 | Jessica Kim | Nurse Practitioner | 1 Clarks Hl Ste 305, Framingham, MA 01702-8172 | 2014-08-16 |
| 1578972741 | Jessica Kim | Pharmacist | 1864 Markley St, Norristown, PA 19401-2904 | 2014-08-12 |
| 1467879767 | Jessica Kim | Dietitian, Registered | 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 | 2014-03-25 |
| 1972878973 | Jessica Lee Kim | Occupational Therapist | 12774 Jolette Ave, Granada Hills, CA 91344-1431 | 2012-03-09 |
| 1558656843 | Jessica S Kim | Dentist | 1111 Sixth Ave., #510, San Diego, CA 92101 | 2011-06-14 |
| 1902195811 | Jessica Kim | Student in an Organized Health Care Education/Training Program | 28 Centre Drive, Mailstop 416sa1, Milton, VT 05468 | 2011-03-31 |
| 1952901639 | Jessica Kim | Assistant Behavior Analyst | 1063 Mcgaw Ave, Irvine, CA 92614-5505 | 2020-10-30 |
| Street Address |
450 CRESSON BLVD SUITE 303 |
| City | OAKS |
| State | PA |
| Zip Code | 19456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982652921 | Garo Megerian | Obstetrics & Gynecology | 450 Cresson Blvd, Ste. 300, Oaks, PA 19456 | 2006-05-04 |
| 1003384553 | Tower Health Urgent Care, LLC | Clinic/Center | 450 Cresson Blvd, Oaks, PA 19456 | 2018-11-02 |
| 1114494812 | Tower Health Urgent Care, LLC | Clinic/Center | 450 Cresson Blvd, Suite 110, Oaks, PA 19456-0876 | 2018-10-31 |
| 1972939171 | Regional Women's Health Group, LLC | Pathology | 450 Cresson Blvd, Suite 300, Oaks, PA 19456 | 2013-09-19 |
| 1972893345 | Allied Orthodontics, P.C. | Dentist | 450 Cresson Blvd, Suite 210, Oaks, PA 19456 | 2011-04-19 |
| 1689904161 | Safiyya Abdul-ghani | Physician Assistant | 450 Cresson Blvd, Suite 110, Oaks, PA 19456 | 2010-01-06 |
| 1508041393 | Montgomery Radiology Associates, PC | Radiology | 450 Cresson Blvd, Suite 100, Oaks, PA 19456 | 2007-12-31 |
| 1265651475 | Women's Health Care Group of Pennsylvania 2llc | Obstetrics & Gynecology | 450 Cresson Blvd, Suite 300, Oaks, PA 19456 | 2007-04-25 |
| 1639252182 | Tim M Zheng | Pathology | 450 Cresson Blvd, Suite 307, Oaks, PA 19456-1109 | 2006-10-20 |
| 1013020890 | Mfm Division/whcg of Pa | Obstetrics & Gynecology | 450 Cresson Blvd, Ste. 300, Oaks, PA 19456 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060416 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 C Mill Rd, Oaks, PA 19456 | 2020-10-13 |
| 1063763811 | Gerald F. Coppola, Jr. | Chiropractor | 1003a Egypt Rd., Suite 1, Oaks, PA 19456 | 2012-09-19 |
| 1710243373 | Lisa Ann Crofcheck | Nurse Practitioner | 450 Cresson Blvd., Suite 110, Oaks, PA 19456 | 2012-04-09 |
| 1063702199 | American Family Dental Care, P.C. | Dentist | 405 Cresson Blvd, Suite # 210, Oaks, PA 19456 | 2011-04-11 |
| 1942538475 | Usv Optical Inc. | Technician/Technologist | 200-c Mill Road, Oaks, PA 19456 | 2009-11-20 |
| 1780864165 | Galeotti Family Chiropractic Center, PC | Chiropractor | 1003 A Egypt Road, Oaks, PA 19456 | 2007-11-14 |
| 1003000670 | Dr. Jeff Snyder, LLC | Chiropractor | 1003a Egypt Road, Oaks, PA 19456 | 2007-08-28 |
| 1932302874 | Oaks Dental Specialists LLC | Dentist | 405 Highland Ave., Oaks, PA 19456 | 2007-06-07 |
| 1245344183 | Anne D. Angle | Dentist | 1207 Egypt Road, Box 380, Oaks, PA 19456 | 2006-08-18 |
| 1588696975 | Chris J Galeotti | Chiropractor | 1003 A Egypt Rd., Oaks, PA 19456 | 2006-07-07 |
| Find all providers in zip 19456 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245457944 | Meetu Ralli Kohli | Dentist | 450 Cresson Blvd, Suite 303, Oaks, PA 19456-1218 | 2007-04-20 |
| 1154548857 | Providence Endodontics LLC | Dentist | 450 Cresson Blvd, Suite 303, Oaks, PA 19456-1218 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982817 | Hallie Rose Landy | Dentist | 2101 Chestnut St Unit 1426, Philadelphia, PA 19103-3138 | 2020-08-12 |
| 1720696123 | Jmk Endodontics LLC | Dentist | 2 Meridian Blvd Ste 216, Wyomissing, PA 19610-3202 | 2020-07-21 |
| 1770105009 | Nhan James Huu Ngo | Dentist | 215 Upland Sq Dr, Pottstown, PA 19464-9427 | 2020-05-08 |
| 1528627130 | Butler Endodontics | Dentist | 1140 N Main Street Ext, Butler, PA 16001-1957 | 2019-06-07 |
| 1518525138 | Melanie Elizabeth Wallace Martel | Dentist | 600 W Dekalb Pike Ste 301, King of Prussia, PA 19406-3060 | 2019-05-29 |
| 1235794215 | Chester County Endodontics, PC | Dentist | 404 Mcfarlan Rd Ste 302, Kennett Square, PA 19348-2479 | 2019-05-06 |
| 1487147039 | Three Rivers Endodontics East LLC | Dentist | 5770 Baum Blvd Ste 150, Pittsburgh, PA 15206-3763 | 2018-06-08 |
| 1558868182 | Downtown Endodontics, LLC | Dentist | 125 Sixth Street, Suite A, Pittsburgh, PA 15222 | 2018-04-10 |
| 1245747583 | Jk Endodontics | Dentist | 555 Second Ave Ste G-108, Collegeville, PA 19426-3600 | 2018-01-09 |
| 1194173377 | David Shin | Dentist | 3945 Chestnut St Apt 405, Philadelphia, PA 19104-3626 | 2016-05-29 |
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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.