DR. JANICE JIHEE KIM (NPI# 1740740752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740740752 |
| Entity Type | Individual |
| Full Name | DR. JANICE JIHEE KIM |
| Credential | DDS |
| Practice Address |
27072 Sw Ballston Rd Sheridan OR 97378-9620 |
| Practice Telephone | 5038436461 |
| Mailing Telephone | 5038436461 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901017715 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DENTAL LICENSE | 2901017715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366654923 | Janice J. Kim | Anesthesiology | 24875 Novi Rd Unit 454, Novi, MI 48376-7716 | 2007-05-04 |
| 1841827961 | Janice Kim | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532 | 2020-03-26 |
| 1437615028 | Janice Kim | Technician, Other | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2019-02-19 |
| 1881169704 | Janice Jinju Kim | Dentist | 3608 W Camelback Rd, Phoenix, AZ 85019 | 2018-10-07 |
| 1861912016 | Janice S. Kim | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2017-06-20 |
| 1447613864 | Janice Hyungju Kim | Emergency Medicine | 1900 S Main St, Findlay, OH 45840-1214 | 2016-04-02 |
| 1346629672 | Janice Kim | Occupational Therapist | 25 Post St, San Jose, CA 95113-2411 | 2015-05-19 |
| 1396132130 | Janice Kim | Pharmacist | 108 Cowardin Ave, Richmond, VA 23224-2020 | 2015-04-20 |
| 1235534157 | Janice S Kim | Dentist | 5005 N Piedras St, Attn Dentac, El Paso, TX 79920-5001 | 2014-11-04 |
| 1346586674 | Janice Kim | Optometrist | 3250 W Olympic Blvd, Suite 221, Los Angeles, CA 90006-2367 | 2012-12-13 |
| Street Address |
27072 SW BALLSTON RD |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-9620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912274796 | Michelle Marie Bleth-weber | Dental Hygienist | 27072 Sw Ballston Rd, Sheridan, OR 97378-9620 | 2011-11-22 |
| 1093176976 | Federal Correctional Institution Sheridan | Public Health or Welfare | 27072 Sw Ballston Rd, Sheridan, OR 97378-9620 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| Find all providers in zip 97378 | ||||
| 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 |
|---|---|---|---|---|
| 1710304324 | James Selcher | Dentist | 3059 Coffeen Ave, Sheridan, WY 82801-9133 | 2014-03-20 |
| 1396056636 | Amanda Jozsa | Dentist | 3960 River Point Pkwy Unit A, Sheridan, CO 80110-3315 | 2010-06-30 |
| 1033345871 | Heather Ann Sturdivant | Dentist | 3480 S Platte River Dr, Apt 9108, Sheridan, CO 80110-2181 | 2009-06-08 |
| 1114110384 | Gary Neal Meling | Dentist | 182 Soldier Creek Rd, Sheridan, WY 82801-9467 | 2007-08-21 |
| 1922213495 | Michelle Lynn Meehan | Dentist | 1465 Burton St, Suite A, Sheridan, WY 82801-2745 | 2007-05-10 |
| 1679600035 | William Larry Frisby | Dentist | 303 W Holly St, Sheridan, AR 72150-2427 | 2007-02-27 |
| 1104824481 | Kevin Scott Mccurry | Dentist | 145 N Connor St, #2, Sheridan, WY 82801-4315 | 2005-07-12 |
| 1639174402 | Randol Clyde Zachry | Dentist | 23 N Scott St, Ste 5, Sheridan, WY 82801-6337 | 2005-06-16 |
| 1295347672 | Taira Katherine Guyer | Dentist | 2056 S Sheridan Ave, Sheridan, WY 82801-6105 | 2020-08-18 |
| 1922632694 | Stanley Caradine | Dentist | 4017 E 2603rd Rd, Sheridan, IL 60551-9502 | 2020-03-02 |
| Find all providers in SHERIDAN | ||||
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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.