MICHELLE KYONGAH KIM (NPI# 1629113857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629113857 |
| Entity Type | Individual |
| Full Name | MICHELLE KYONGAH KIM |
| Other Name | MICHELLE KYONGAH KIM |
| Credential | DDS |
| Practice Address |
2245 E Colorado Blvd Ste 201 Pasadena CA 91107 |
| Practice Telephone | 6264493367 |
| Practice Fax Number | 6264493376 |
| Mailing Telephone | 6264493367 |
| Mailing Fax Number | 6264493376 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 42670 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL/DENTICAL | 42670 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315313 | Michelle Y Kim | Counselor | 2501 E Chapman Ave Ste 106, Fullerton, CA 92831-3135 | 2020-04-24 |
| 1780156992 | Michelle Nayoung Kim | Case Manager/Care Coordinator | 1618 S Lane St, Seattle, WA 98144-2829 | 2018-12-28 |
| 1467812131 | Michelle Kim | Pharmacist | 2338 Meadowlark Dr, Pleasanton, CA 94566-3116 | 2016-02-24 |
| 1962839258 | Michelle Jay Kim | Nurse Practitioner | 4020 Montaigne Way, Palos Verdes Peninsula, CA 90274-3940 | 2013-10-01 |
| 1730465659 | Michelle Kim | Pharmacist | 817 Saint Andrews Rd, Columbia, SC 29210-5828 | 2011-10-24 |
| 1023300464 | Michelle Kim | Behavioral Analyst | 3556 Plume Way Se, Palm Bay, FL 32909 | 2011-05-04 |
| 1720305717 | Michelle Kim | Acupuncturist | 356 Third St Fl 2, Cambridge, MA 02142-1111 | 2010-04-29 |
| 1588713119 | Michelle H Kim | Optometrist | 833 S Western Ave #2, Los Angeles, CA 90005-3376 | 2007-01-10 |
| 1356458673 | Michelle M Kim | Podiatrist | 14236 Mccarthy Road, Lemont, IL 60439 | 2006-08-23 |
| 1457328825 | Michelle Kim | Optometrist | 2027 San Elijo Ave Ste 2027, Cardiff, CA 92007-1726 | 2006-03-03 |
| Street Address |
2245 E COLORADO BLVD STE 201 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1780294033 | Tracy Ho | Dentist | 3015 Gainsborough Dr, Pasadena, CA 91107-5509 | 2020-08-02 |
| 1508417999 | Pasadena Modern Dentistry, PC | Dentist | 5714 Fairmont Pkwy, Pasadena, TX 77505-3906 | 2019-09-26 |
| 1528629300 | Aditya Wagh | Dentist | 2000 Richey St Ste B, Pasadena, TX 77502-3332 | 2019-06-24 |
| 1518475540 | Seleem Dental Inc. | Dentist | 133 S Los Robles Ave Unit 100, Pasadena, CA 91101-5824 | 2018-01-11 |
| 1760923429 | Giselle Galanto | Dentist | 267 S Oak Knoll Ave, Apt 18, Pasadena, CA 91101-2925 | 2017-03-14 |
| 1134592199 | Southern Dental At Pasadena Pllc | Dentist | 7219 Fairmont Pkwy Ste 100, Pasadena, TX 77505-4612 | 2015-11-12 |
| 1003286519 | Tian Jin | Dentist | 788 E Walnut St, Pasadena, CA 91101-1638 | 2015-09-28 |
| 1942676382 | Arianna Damian Yeh | Dentist | 164 N Oak Knoll Ave, Apt 7, Pasadena, CA 91101-1846 | 2015-08-20 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1861878969 | Abc Dentistry Pasadena Pa | Dentist | 1500 Southmore Ave, Pasadena, TX 77502-1307 | 2015-07-31 |
| Find all providers in PASADENA | ||||
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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.