DR. KATHY KIM (NPI# 1639579915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639579915 |
| Entity Type | Individual |
| Full Name | DR. KATHY KIM |
| Credential | DMD |
| Practice Address |
24812 Northern Blvd Little Neck NY 11362-1206 |
| Practice Telephone | 7184282663 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
057569 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588055149 | Kathy Kim | Pharmacist | 12751 Harbor Blvd Rm 100, Garden Grove, CA 92840-5800 | 2015-02-17 |
| 1659789873 | Kathy Kim | Point of Service | 2305 Leander Cir, Anchorage, AK 99515-2539 | 2014-07-31 |
| 1609209477 | Kathy Dipasquale Kim | Dentist | 15200 Shady Grove Rd Ste 408, Rockville, MD 20850-3218 | 2013-08-15 |
| 1528388162 | Kathy Jonghi Kim | Pharmacist | 8030 Dale St, Buena Park, CA 90620-2251 | 2010-06-05 |
| 1225245004 | Kathy S.m. Kim | Dentist | 4150 Sw 100th Ave, Beaverton, OR 97005 | 2007-05-17 |
| 1962591396 | Kathy Kim | Optometrist | 6405 Steilacoom Blvd Sw, Suite A, Lakewood, WA 98499-2668 | 2006-10-12 |
| 1457814394 | Kathy Kim | Counselor | 2615 Pacific Coast Hwy Ste 217, Hermosa Beach, CA 90254-2229 | 2019-04-08 |
| 1912477613 | Kathy Kim | Occupational Therapist | 19750 S Vermont Ave Ste 140, Torrance, CA 90502-1130 | 2018-11-26 |
| 1588143754 | Kathy Chong Eun Kim | Dentist | 4760 W Mineral Ave Ste 60, Littleton, CO 80128-2540 | 2018-08-09 |
| Street Address |
24812 NORTHERN BLVD |
| City | LITTLE NECK |
| State | NY |
| Zip Code | 11362-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588840375 | Allon Vision Inc. | Optometrist | 24812 Northern Blvd, 1d, Little Neck, NY 11362-1207 | 2008-01-11 |
| 1730573205 | Kam Primary Care, P.C. | Clinic/Center | 24812 Northern Blvd, 2a, Little Neck, NY 11362-1206 | 2015-03-23 |
| 1356768899 | Dana Pharmacy, Inc | Pharmacy | 24812 Northern Blvd, 1c, Little Neck, NY 11362-1206 | 2014-03-22 |
| 1093963134 | Yi Sheng Kam | Family Medicine | 24812 Northern Blvd, 2a, Little Neck, NY 11362-1206 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776760 | Karen Rienzi | Occupational Therapist | 245-37 60th Avenue, Douglaston, NY 11362 | 2020-10-01 |
| 1780154773 | Assisted Development & Growth LLC | Early Intervention Provider Agency | 252-32 60th Avenue, Little Neck, NY 11362 | 2018-12-03 |
| 1326515560 | Gardenia Acupuncture | Acupuncturist | 253 W End Drive, Little Neck, NY 11362 | 2018-10-25 |
| 1275011330 | Erica Leia Hoffman | Community/Behavioral Health | Pride of Judea Community Services, 243-02 Northern Blvd., Douglaston, NY 11362 | 2018-08-01 |
| 1669990669 | Maria Kourounis | Social Worker | Pride of Judea Counseling Center -, 243-02 Northern Blvd., Douglaston, NY 11362 | 2017-08-30 |
| 1639696511 | Hyunyeul Cho | Acupuncturist | 58-17 255th St., Left, Little Neck, NY 11362 | 2017-08-23 |
| 1053837575 | Navarrete Dds Pllc | Dentist | 45-06 Little Neck Pkwy, Suite 204, Little Neck, NY 11362 | 2017-08-16 |
| 1912356155 | Esteer Khelea | Specialist | 24845 Cambria Ave, Little Neck, NY 11362 | 2016-06-08 |
| 1811395304 | Soyoung Lee Tung | Physical Therapist | 249-16 60th Ave, 1f, Little Neck, NY 11362 | 2014-12-15 |
| 1376969584 | Linette J Giuliano | Social Worker | 46-24 243rd Street, Douglaston, NY 11362 | 2014-03-12 |
| Find all providers in zip 11362 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982910287 | Little Neck Come Dental | Dentist | 248-12 Northern Boulevard, Suite 2f & 2g, Little Neck, NY 11362 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE NECK |
| Zip Code | 11362 |
Please comment or provide details below to improve the information on DR. KATHY 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.