DR. DANIEL E KIM (NPI# 1639113806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639113806 |
| Entity Type | Individual |
| Full Name | DR. DANIEL E KIM |
| Credential | M.D. |
| Practice Address |
3698 Chambers Pass Ste B Fort Sam Houston TX 78234-7767 |
| Practice Telephone | 2109162876 |
| Practice Fax Number | 2109160009 |
| Mailing Telephone | 2109162876 |
| Mailing Fax Number | 2109160009 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 72501 | WI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 01056918A | IN | Allopathic & Osteopathic Physicians |
| Y | 171000000X | Military Health Care Provider | 01056918A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100096288 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| William Beaumont Army Medical Center, 5005 N. Piedras St., Attn Credentials, El Paso, TX 799205001 | 9155692698 | 9155692602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703743 | Daniel Kim | Student in an Organized Health Care Education/Training Program | 140 Coachman Pl E, Syosset, NY 11791-3053 | 2019-05-01 |
| 1366968679 | Daniel M Kim | Chiropractor | 5597 S Rainbow Blvd Ste 140, Las Vegas, NV 89118-1898 | 2017-08-17 |
| 1427581016 | Daniel Kim | Podiatrist | 3031 W March Ln Unit 310e, Stockton, CA 95219-6500 | 2017-04-10 |
| 1215487673 | Daniel Kim | Pharmacist | 13032 Abing Ave, San Diego, CA 92129-2288 | 2016-10-10 |
| 1699223693 | Daniel C Kim | Chiropractor | 2730 Gallows Rd, Apt 320, Vienna, VA 22180-7476 | 2016-09-19 |
| 1417347006 | Daniel Kim | Dentist | 800 Woodbury Rd Ste B, Woodbury, NY 11797-2503 | 2015-02-03 |
| 1104222140 | Daniel Kim | Acupuncturist | 28229 Ridgepoint Ct, Rancho Palos Verdes, CA 90275-3251 | 2014-11-18 |
| 1528400264 | Daniel S Kim | Dentist | 300 Old Forge Ln, Suite 301, Kennett Square, PA 19348-1897 | 2013-07-23 |
| 1255693297 | Daniel Kim | Student in an Organized Health Care Education/Training Program | 2552 Marron Rd Apt 301, Carlsbad, CA 92010-8397 | 2012-06-14 |
| 1851652382 | Daniel Jiyong Kim | Chiropractor | 1354 The Alameda, Suite 11, San Jose, CA 95126-5000 | 2012-05-31 |
| Street Address |
3698 CHAMBERS PASS STE B |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-7767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114199916 | Melissa Sue Brilliott | Military Health Care Provider | 3851roger Brooke Drive, Brooke Army Medical Center, Fort Sam Houston, TX 78234 | 2008-04-01 |
| 1437149648 | Gea M Miller | Military Health Care Provider | Brooke Army Medical Center, Attn: Mche-qd, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 | 2005-10-27 |
| 1730179151 | Ramon A Arroyo | Military Health Care Provider | 3151 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234 | 2005-10-26 |
| 1639787872 | Kelly Peterson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-14 |
| 1043776347 | Karen Thompson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-02-12 |
| 1023555257 | Robyn Ruth Lombardo | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2017-01-25 |
| 1851675565 | Yvette Woods | Military Health Care Provider | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2011-09-30 |
| 1235300997 | Jason Lee Judkins | Military Health Care Provider | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2008-03-20 |
| 1790978518 | Jean Marie Coviello | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-08-24 |
| 1609883925 | Lise A. Cote | Military Health Care Provider | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2006-08-01 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on DR. DANIEL E KIM.
| 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.