JI HYUN KIM (NPI# 1891081022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891081022 |
| Entity Type | Individual |
| Full Name | JI HYUN KIM |
| Credential | D.D.S. |
| Practice Address |
470 Lewis Ave Meriden CT 06451-2103 |
| Practice Telephone | 2034400499 |
| Mailing Telephone | 2034400499 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 010500 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285072835 | Ji Hyun Kim | Dentist | 7 Lexington Ave, Apt 6e, New York, NY 10010-5517 | 2013-06-05 |
| Street Address |
470 LEWIS AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346396983 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden Square, Meriden, CT 06451-2103 | 2007-01-26 |
| 1205297058 | Insight, LLC | Optometrist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-08 |
| 1720448004 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-01 |
| 1013393578 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2015-08-07 |
| 1356727739 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2015-08-07 |
| 1811395494 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2014-12-12 |
| 1558687103 | Sph2 Enterprise LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2010-04-07 |
| 1447317961 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden Square, Meriden, CT 06450-2103 | 2007-01-03 |
| 1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1881822351 | East Main Dental P.C. | Dentist | 95 E Main St Unit B7b9, Meriden, CT 06450-5652 | 2009-06-23 |
| 1467577999 | Meridental LLC | Dentist | 28 Gravel St, Meriden, CT 06450-4608 | 2007-03-21 |
| 1629176201 | Carolyn Fetzer Tillman | Dentist | 35 Pleasant Street, Suite 2b, Meriden, CT 06450 | 2006-09-20 |
| 1083264998 | Lauren Michelle Aber | Dentist | 35 Pleasant St Ste 2d, Meriden, CT 06450-7596 | 2019-09-13 |
| 1740702489 | Raunak Singh | Dentist | 566 W Main St, Meriden, CT 06451-2791 | 2017-07-14 |
| 1114342631 | Venu M. Chimmiri, Dds, LLC | Dentist | 35 Pleasant St, #2d, Meriden, CT 06450-5786 | 2014-02-19 |
| 1528156643 | Ewa Agata Cieslik | Dentist | 35 Pleasant St, Suite 2b, Meriden, CT 06450-5786 | 2006-10-11 |
| 1144338468 | George Phillip Haas | Dentist | 1 Prestige Dr, Suite #107, Meriden, CT 06450-7164 | 2006-08-27 |
| 1225142599 | Mel T. Sanchez | Dentist | 1 Prestige Dr, Suite # 107, Meriden, CT 06450-7164 | 2006-08-17 |
| Find all providers in MERIDEN | ||||
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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.