JONGGUON KIM (NPI# 1659820728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659820728 |
| Entity Type | Individual |
| Full Name | JONGGUON KIM |
| Credential | DDS |
| Practice Address |
9138 Arlon St Ste B4 Anchorage AK 99507-3876 |
| Mailing Address |
7308 Chugach Meadows Loop Anchorage AK 99507-2685 |
| Practice Telephone | 9073336666 |
| Mailing Telephone | 9093423009 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 115372 | AK | Dental Providers |
| Street Address |
9138 ARLON ST STE B4 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| 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 |
|---|---|---|---|---|
| 1760081558 | Arne Anton Krogh | Dentist | 2665 E Tudor Rd Ste 300, Anchorage, AK 99507-1144 | 2020-10-22 |
| 1821649864 | Chase A Lundin | Dentist | 4001 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5200 | 2019-09-20 |
| 1992358261 | Shaun Mcnees | Dentist | 2805 Dawson St Ste 101, Anchorage, AK 99503-3800 | 2019-07-16 |
| 1194281725 | South Gate Cosmetic & Implant Dentistry LLC | Dentist | 12570 Old Seward Hwy Ste 201, Anchorage, AK 99515-3532 | 2019-02-19 |
| 1124593769 | Luff Orthodontics Partnership LLC | Dentist | 3708 Rhone Circle, Anchorage, AK 99508 | 2018-10-10 |
| 1457835167 | Motuuf, LLC. | Dentist | 3401 Denali St Ste 201, Anchorage, AK 99503-4001 | 2018-09-18 |
| 1609356310 | Iris Ohsie | Dentist | 1921 W Dimond Blvd Ste 101, Anchorage, AK 99515-1465 | 2018-08-21 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1306361712 | Leilani Marlin | Dentist | 2000 Abbott Rd Ste 100, Anchorage, AK 99507-3878 | 2017-08-07 |
| 1750802104 | Ali Azar | Dentist | 1136 N Muldoon Rd, Anchorage, AK 99504-6119 | 2017-07-06 |
| Find all providers in ANCHORAGE | ||||
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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.