KYUNG IL KIM (NPI# 1922140425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922140425 |
| Entity Type | Individual |
| Full Name | KYUNG IL KIM |
| Credential | DDS |
| Practice Address |
214 20 45 Road Bayside NY 11361-3338 |
| Practice Telephone | 7182296202 |
| Practice Fax Number | 7182291655 |
| Mailing Telephone | 7182296202 |
| Mailing Fax Number | 7182291655 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
042495 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0089160 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922590058 | Kyung Soo Kim | Acupuncturist | 170 Evergreen Rd Apt 5a, Edison, NJ 08837-2444 | 2018-06-04 |
| 1265976898 | Kyung M Kim | Occupational Therapist | 14390 Uniform Dr, Centreville, VA 20121-2321 | 2016-12-16 |
| 1013364421 | Kyung Sook Kim | Anesthesiology | 5 Floral Park Ct, Savoy, IL 61874-9761 | 2016-05-16 |
| 1750761995 | Kyung Kim | Pediatrics | 251 Columbia Club Dr E, Blythewood, SC 29016-9479 | 2015-06-03 |
| 1902139934 | Kyung Sik Kim | Acupuncturist | 3150 Southwycke Ter, Fremont, CA 94536-1960 | 2009-09-09 |
| 1497980437 | Kyung Taek Kim | Acupuncturist | 1481 S King Street, #106, Honolulu, HI 96814 | 2009-05-20 |
| 1134344419 | Kyung Hee Kim | Social Worker | 12356 Donovan Cir, Austin, TX 78753-7220 | 2007-04-13 |
| 1831210335 | Kyung Han Kim | Physical Therapist | 4304 Evergreen Ln Ste 102, Annandale, VA 22003-3216 | 2007-04-02 |
| 1790816627 | Kyung Ja Kim | Acupuncturist | 4482 Barranca Pkwy Ste 248, Irvine, CA 92604-4770 | 2007-03-09 |
| 1275693467 | Kyung Ok Kim | Internal Medicine | 2 Woodbury Court, Hicksville, NY 11801-3159 | 2006-12-11 |
| Street Address |
214 20 45 ROAD |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| 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 |
|---|---|---|---|---|
| 1336494939 | Inessa Kandov | Dentist | 21333 39th Ave Ste 300, Bayside, NY 11361-2092 | 2012-07-19 |
| 1811268774 | The Office for Dental Arts, P.C. | Dentist | 22424 Union Tpke Ste 1m, Bayside, NY 11364-3650 | 2012-01-24 |
| 1699054320 | Jason Lin | Dentist | 38-50 Bell Blvd, Suite E, Bayside, NY 11361 | 2011-08-11 |
| 1629237599 | Panayota Penny Kollias-stroumbakis | Dentist | 2819 Corporal Kennedy St, Bayside, NY 11360-2436 | 2008-06-05 |
| 1801064043 | Sherman Burton Berger | Dentist | 230 E Ravine Baye Rd, Bayside, WI 53217-1326 | 2008-02-11 |
| 1831389675 | Sun Young Lee | Dentist | 4225 213th St Apt 1r, Bayside, NY 11361-2822 | 2007-07-27 |
| 1770789034 | Sunhoon Loh | Dentist | 4543a Bell Blvd, Bayside, NY 11361-3364 | 2007-06-25 |
| 1053513044 | Tzong-shen Tsai | Dentist | 3938 Bell Blvd Fl 2, Bayside, NY 11361-2061 | 2007-06-03 |
| 1487869749 | Bell Blvd. Dental, P.C. | Dentist | 46-01 Bell Blvd, Bayside, NY 11361 | 2007-05-11 |
| 1003020256 | Armin Lalehzari | Dentist | 44-02 Francis Lewis Blvd. #1c, Dazzling Smile Dental Group, Bayside, NY 11361-6546 | 2007-05-09 |
| Find all providers in BAYSIDE | ||||
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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.