SHAWN J KIM (NPI# 1568080414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568080414 |
| Entity Type | Individual |
| Full Name | SHAWN J KIM |
| Credential | DMD |
| Practice Address |
425 E Washington St Apt 811 Ann Arbor MI 48104-2060 |
| Practice Telephone | 9733495954 |
| Mailing Telephone | 9733495954 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2952000733 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316227499 | Shawn Seonghoon Kim | Dentist | 1138 River St, Hyde Park, MA 02136-2970 | 2011-08-22 |
| 1326027715 | Shawn S. Kim | Internal Medicine | 3473 Satellite Blvd, Suite 108 North, Duluth, GA 30096-8690 | 2006-01-13 |
| 1235766569 | Shawn Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Sammc, Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234 | 2020-03-25 |
| 1679111066 | Shawn Saiwon Kim | Pharmacist | 3943 San Fernando Rd, Glendale, CA 91204-2721 | 2019-12-16 |
| 1285167809 | Shawn Myungki Kim | Student in an Organized Health Care Education/Training Program | 793 W State St, Columbus, OH 43222-1551 | 2017-04-10 |
| 1538571294 | Shawn Kim | Internal Medicine | 11234 Anderson St, Gme Office Westerly Suite 'c', Loma Linda, CA 92354-2804 | 2014-05-28 |
| 1316147754 | Shawn Kim | Social Worker | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2007-07-24 |
| Street Address |
425 E WASHINGTON ST APT 811 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396907051 | Paul Christian Lopez | Dentist | 2058 S State St Ste 100, Ann Arbor, MI 48104-4787 | 2008-06-25 |
| 1346409869 | Christopher Richard Sanker | Dentist | 2058 S. State Street, Suite 100, Ann Arbor, MI 48104 | 2008-06-09 |
| 1316167612 | Matthew Stephen Pinsky | Dentist | 3055 Plymouth Rd., Ann Arbor, MI 48105 | 2007-04-27 |
| 1528008042 | Michigan Oral and Maxillofacial Surgeons, P.C. | Dentist | 2058 S State St, Suite 100, Ann Arbor, MI 48104-4786 | 2006-06-07 |
| 1417519331 | Dylan Starck | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-07-01 |
| 1841852860 | Aram Keteyian | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2019-06-29 |
| 1215391636 | Oded Nahlieli | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-04-12 |
| 1235535089 | Shadi Alzahrani | Dentist | 1500 E Medical Center Drive, Floor 1, Reception A, Room 1904, Ann Arbor, MI 48109-0312 | 2014-11-06 |
| 1972913382 | Paul Shivers | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-07 |
| 1316383979 | Mohamed Abdel Hakim | Dentist | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2013-05-21 |
| Find all providers in ANN ARBOR | ||||
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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.