JAMES MYUNG JU KIM DDS INC


Address: 1136 N Mount Vernon Ave Ste 202-203, San Bernardino, CA 92411-2279
Phone: 9094530244

JAMES MYUNG JU KIM DDS INC (NPI# 1598239170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598239170
Entity Type Organization
Organization Name JAMES MYUNG JU KIM DDS INC
Practice Address 1136 N Mount Vernon Ave Ste 202-203
San Bernardino
CA 92411-2279
Practice Telephone 9094530244
Mailing Telephone 9094530244
Enumeration Date 2019-01-16
Last Update Date 2019-01-16
Authorized Official Name JAMES MYUNG JU KIM (OWNER)
Authorized Official Telephone 9094530188
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326244591 James Myung Ju Kim Dds Inc Dentist 7128 Pacific Blvd #b, Huntington Park, CA 90255 2007-06-25
1629251954 James Myung Ju Kim Dds Inc Dentist 3800 W El Segundo Blvd, Suite 203, Hawthorne, CA 90250-4677 2007-12-10

Office Location

Street Address 1136 N MOUNT VERNON AVE STE 202-203
City SAN BERNARDINO
State CA
Zip Code 92411-2279

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619537016 Shaunice Renee Cox Case Manager/Care Coordinator 1604 Pennsylvania Street, San Bernardino, CA 92411 2019-06-18
1104327543 Wilson Gomer M.d. Professional Medical Corporation Clinic/Center 1800 Western Ave Ste 103, San Bernardino, CA 92411 2018-02-21
1467883504 Pedro Lynn Hayes Nurse Practitioner 1800 Medical Center Dr. #99, San Bernardono, CA 92411 2013-11-27
1184973505 Maria G Villasenor Perez Social Worker 1002 W 7th St, San Bernardino, CA 92411 2012-08-30
1003140948 Joe Mawad Obstetrics & Gynecology 1800 Western Ave Ste 204, San Bernardino, CA 92411 2009-09-24
1124255146 Angie Bagheri Cook Pediatrics 565 N. Mount Vernon Ave, San Bernardino, CA 92411 2009-06-17
1770637365 Paul Anthony Tenette Pharmacist Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 2007-01-22
1225117328 Vinod Kumar Kaura Internal Medicine 1800 N Western Ave #303, San Bernardino, CA 92411 2006-11-02
1861582314 Cecilia Talpa Quinones Physician Assistant 565 N. Mount Vernon Ave., San Bernardino, CA 92411 2006-10-13
1710075247 Bramara Arya Pediatrics 1505 W. 17th Street, San Bernardino, CA 92411 2006-10-10
Find all providers in zip 92411

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316583321 Min Chul Jung Dds Inc Dentist 1535 E Highland Ave Ste F, San Bernardino, CA 92404-4682 2019-11-25
1891210001 Jordan Koji Higa Dentist 1047 Harriman Pl Ste B, San Bernardino, CA 92408-4203 2017-08-08
1669833810 Azadeh Afzali D.d.s, Inc. Dentist 1918 Business Center Dr Ste 210, San Bernardino, CA 92408-3441 2016-03-16
1326408261 Allure Dental Dentist 1353 W Mill St, San Bernardino, CA 92410-2244 2016-03-04
1154796043 Hyung-ju John Kim Dds Inc Dentist 1136 N Mount Vernon Ave Spc 202-203, San Bernardino, CA 92411-2279 2015-12-03
1205227386 Julia Jungin Park Dentist 2526 S Young Ct, San Bernardino, CA 92408-4197 2015-02-11
1265834105 Louis J. Amendola Dds, Inc. Dentist 2094 E Highland Ave, San Bernardino, CA 92404-4626 2014-09-23
1467852269 Wilson Dentistry, Inc. Dentist 1063 N. D St, San Bernardino, CA 92410 2014-08-28
1174943476 Brenda E Miller, Dds Apc Dentist 570 S Mount Vernon Ave Ste E, San Bernardino, CA 92410-2737 2014-04-25
1003235631 Nick L. Le Dentist 1848 Commercenter E # 3406, San Bernardino, CA 92408-3406 2014-04-10
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92411

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Dataset Information

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.

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