DR. EDWIN KIM (NPI# 1558403709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558403709 |
| Entity Type | Individual |
| Full Name | DR. EDWIN KIM |
| Credential | D.D.S. |
| Practice Address |
81-990 Halekii St #7 Kealakekua HI 96750 |
| Mailing Address |
Po Box 4532 Kailua Kona HI 96745-4532 |
| Practice Telephone | (907) 538-7051 |
| Mailing Telephone | (907) 538-7051 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2017-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 1431 | AK | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
45378 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235388 | Edwin Gi Lim Kim | Dentist | 616 6th St, Bremerton, WA 98337-1420 | 2017-03-02 |
| 1790197051 | Edwin Kim | Surgery | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-05-21 |
| 1134549504 | Edwin Kim | Psychiatry & Neurology | 3535 Market St Fl 5, Philadelphia, PA 19104-3345 | 2014-04-23 |
| 1568884260 | Edwin Kim | Acupuncturist | 18312 Beach Blvd, Huntington Beach, CA 92648-1311 | 2014-01-15 |
| 1366710378 | Edwin J Kim | Pharmacist | 959 Crenshaw Blvd, Los Angeles, CA 90019-1938 | 2011-12-05 |
| 1659577070 | Edwin H Kim | Allergy & Immunology | 6013 Farrington Rd, Suite 300, Chapel Hill, NC 27517-8172 | 2007-06-22 |
| 1912977034 | Edwin H. Kim | Radiology | 8629 Sudley Rd, Suite 102, Manassas, VA 20110-4590 | 2006-01-23 |
| Street Address |
81-990 HALEKII ST #7 |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205044237 | Jacqueline Lee | Dentist | 81-990 Halekii St #7, Kealakekua, HI 96750 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| 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 |
|---|---|---|---|---|
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| 1184939712 | Leslie W.s. Au | Dentist | 81-6592 A Mamalahoa Hwy, Kealakekua, HI 76750 | 2010-08-06 |
| 1407005457 | Leslie W. S. Au Dds Inc | Dentist | 81-6592a Mamalahoa Hwy, Kealakekua, HI 96750-0130 | 2008-09-15 |
| 1437254000 | Kent Haruo Nakamaru | Dentist | 79-7592 Mamalahoa Highway, Kealakekua, HI 96750 | 2006-09-14 |
| 1548498686 | Steven C. Pine | Dentist | 81-6627 Mamalahoa Hwy, Ste # 106, Kealakekua, HI 96750-8180 | 2009-06-28 |
| 1205044237 | Jacqueline Lee | Dentist | 81-990 Halekii St #7, Kealakekua, HI 96750 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606965 | Keileen Fukada | Dentist | 98-211 Pali Momi St Ste 737, Aiea, HI 96701-4339 | 2020-07-13 |
| 1497391247 | Helena S Mello | Dentist | 275 W Kaahumanu Ave Ste 188, Kahului, HI 96732-1674 | 2019-11-26 |
| 1861041915 | Summer Marti-kini Arnold | Dentist | 4491 Rice St Ste 106, Lihue, HI 96766-1805 | 2019-09-10 |
| 1083262869 | Justin Ching | Dentist | 91-1121 Keaunui Dr Ste 112, Ewa Beach, HI 96706-6365 | 2019-08-26 |
| 1285289827 | Eddy Giang | Dentist | 500 Ala Moana Blvd Ste 7-300, Honolulu, HI 96813-4905 | 2019-08-08 |
| 1285288126 | Landon Matsuyoshi Oka | Dentist | 95-720 Lanikuhana Ave Ste 230, Mililani, HI 96789-2984 | 2019-07-29 |
| 1407418940 | Byung Un Yoo | Dentist | 1441 Kapiolani Blvd Ste 1405, Honolulu, HI 96814-4407 | 2019-07-05 |
| 1215409263 | Kihei Dentists LLC | Dentist | 300 Ohukai Rd Ste B301, Kihei, HI 96753-8994 | 2018-12-31 |
| 1043785819 | Hana A Vandervoort | Dentist | 81 Makawao Ave Ste 101, Makawao, HI 96768-8894 | 2018-10-09 |
| 1366926792 | John Keith Sasine | Dentist | Us Army Dental Health Activity Hawaii, 1 Jarrett White Road, Mcds-nh, Tripler Amc, HI 96859-5000 | 2018-09-21 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
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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.