DR. STEPHEN KIM (NPI# 1659449791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659449791 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KIM |
| Credential | DDS |
| Practice Address |
7841 Commonwealth Ave Buena Park CA 90621-2422 |
| Practice Telephone | 7147397173 |
| Practice Fax Number | 7147397174 |
| Mailing Telephone | 7147397173 |
| Mailing Fax Number | 7147397174 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58231 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
0515061 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02664253 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912444779 | Stephen Kim | Specialist/Technologist | 175 Sam Sibley Dr., Natchitoches, LA 71457 | 2017-01-31 |
| 1265765473 | Stephen Joseph Kim | Dentist | 1200 112th Ave Ne Ste B275, Bellevue, WA 98004-3738 | 2009-09-08 |
| 1043434483 | Stephen Hojong Kim | Dentist | 4061 Kirkpatrick Ln, Suite 100, Flower Mound, TX 75028 | 2007-04-13 |
| 1760539068 | Stephen Sae Chang Kim | Family Medicine | 177 Mouse Creek Rd Nw, Cleveland, TN 37312-3838 | 2007-01-05 |
| 1376563403 | Stephen Alan Kim | Family Medicine | 3140 Legacy Dr Ste 720, Frisco, TX 75034-7917 | 2006-07-20 |
| 1740226893 | Stephen S Kim | Internal Medicine | 222 Ne Park Plaza Dr, Suite 100, Vancouver, WA 98684-5895 | 2006-06-20 |
| 1558909408 | Stephen Kim | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
| 1285175109 | Stephen Kim | Orthotist | 2434 W Peterson Ave, Chicago, IL 60659-4113 | 2017-03-10 |
| 1851750400 | Stephen Kim | Dentist | 5545 E Broadway Blvd Ste 107, Tucson, AZ 85711 | 2016-02-10 |
| 1225387848 | Stephen S Kim | Pharmacist | 2201 Se Loop 820, Fort Worth, TX 76119-5863 | 2012-08-29 |
| Street Address |
7841 COMMONWEALTH AVE |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386971000 | Julie Yongsook Kim | Dentist | 7841 Commonwealth Ave, Buena Park, CA 90621-2422 | 2009-11-17 |
| 1356674725 | Grace Heekyong Lee | Dentist | 7841 Commonwealth Ave, Buena Park, CA 90621-2422 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881180545 | Jeyanthi Bhaheetharan | Dentist | 6131 Orangethorpe Ave Ste 405, Buena Park, CA 90620-4902 | 2018-07-06 |
| 1184110140 | Heungki Min | Dentist | 5881 Beach Blvd, Buena Park, CA 90621-2021 | 2018-07-02 |
| 1487025912 | Bryan Nguyen | Dentist | 6192 San Ramon Way, Buena Park, CA 90620-2838 | 2015-10-09 |
| 1699108399 | Michael B Han | Dentist | 5258 Beach Blvd, Suite A, Buena Park, CA 90621 | 2013-08-16 |
| 1215231212 | Hernan E Lucar | Dentist | 7921 Delphinium Cir, Buena Park, CA 90620-1902 | 2011-01-05 |
| 1922310267 | Sonia G Canton Moran | Dentist | 8682 Beach Blvd, Suite # 102, Buena Park, CA 90620-4808 | 2010-07-01 |
| 1417278938 | Chan Sik Youn | Dentist | 5781 Kingman Ave Apt 2, Buena Park, CA 90621-2078 | 2010-06-18 |
| 1225365588 | Claire Lee | Dentist | 52 Frances Cir, Buena Park, CA 90621-5001 | 2009-11-06 |
| 1477798528 | Ma May Thet Naing, Dds., Inc | Dentist | 6850 Lincoln Ave Ste 100, Buena Park, CA 90620-4146 | 2008-12-03 |
| 1194921916 | Michael J.c. Chang, Dmd, Inc. | Dentist | 7011 Orangethorpe Ave., #100, Buena Park, CA 90621 | 2007-06-27 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
Please comment or provide details below to improve the information on DR. STEPHEN 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.