DR. SUSAN KIM (NPI# 1972689784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972689784 |
Entity Type | Individual |
Full Name | DR. SUSAN KIM |
Credential | DMD |
Practice Address |
225 Centre St Malden MA 02148-5524 |
Mailing Address |
156 Langdon St Newton MA 02458-2516 |
Practice Telephone | 7813243200 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
21549 | MA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
1184263634 | Susan Kim | Pharmacist | 14529 28th Dr Se, Mill Creek, WA 98012-5707 | 2020-01-02 |
1548780901 | Susan Kim | Marriage & Family Therapist | 12625 High Bluff Dr Ste 103, San Diego, CA 92130-2053 | 2017-06-26 |
1013371210 | Susan Kim | Pharmacist | 192 Orchard Park Dr, Apt 287, Davis, CA 95616-5343 | 2016-04-13 |
1861893000 | Susan Kim | Dietitian, Registered | 21011 Storrs Rd, Sackets Harbor, NY 13685-3172 | 2014-09-08 |
1033559505 | Susan Kim | Counselor | 2900 Eastlake Ave E, Suite 220, Seattle, WA 98102-3012 | 2013-06-28 |
1538424080 | Susan Soojin Kim | Specialist | 12 Sterling Pl, 1st Fl, Edgewater, NJ 07020-1415 | 2012-07-11 |
1427202456 | Susan Youn Kim | Optometrist | 3184 Queens East St, Eugene, OR 97401-8525 | 2008-11-04 |
1184807257 | Susan J. Kim | Physical Medicine & Rehabilitation | 7703 Floyd Curl Dr, Mc7798, San Antonio, TX 78229-3901 | 2007-12-12 |
1619019429 | Susan Kim | Acupuncturist | 4950 Wilshire Blvd, Los Angeles, CA 90010-3805 | 2007-02-12 |
Street Address |
225 CENTRE ST |
City | MALDEN |
State | MA |
Zip Code | 02148-5524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588757397 | Stephanie Payne | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2006-10-02 |
1578093241 | Lacey Myer | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2017-06-15 |
1215379805 | Minakshi N Gupta | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2013-07-23 |
1548607492 | Angera Ma | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2013-06-02 |
1659640407 | 42 North Dental Care, LLC | Clinic/Center | 225 Centre St, Malden, MA 02148-5524 | 2011-12-23 |
1770805145 | John Dang | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2010-02-25 |
1780746792 | Natalie Ginzburg | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2006-12-15 |
1326121492 | Peter Tae-jin Kwon | Dentist | 225 Centre St, Malden, MA 02148-5524 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
Find all providers in zip 02148 |
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 |
---|---|---|---|---|
1861024127 | Patrick Joseph Richard | Dentist | 578 Main St # 101, Malden, MA 02148-3900 | 2020-02-05 |
1457732695 | Neha Jain | Dentist | 244 Kennedy Dr, Apt 401, Malden, MA 02148-3325 | 2015-06-13 |
1972915726 | Philip Wadsworth | Dentist | 6 Island Hill Ave Apt 412, Malden, MA 02148-2651 | 2014-05-28 |
1447696380 | Manpreet Kaur | Dentist | 38 Green St Apt 2, Malden, MA 02148-7427 | 2013-05-19 |
1770805194 | Wollaston Dental Care, Inc | Dentist | 70 Eastern Ave, Malden, MA 02148-5014 | 2010-02-26 |
1881924173 | Chad A. Borer Dds, LLC | Dentist | 445 Highland Ave, Malden, MA 02148-3809 | 2010-01-08 |
1851507032 | Suzanne Marie Avedikian | Dentist | 388 Pleasant Street, Suite 202, Malden, MA 02148 | 2007-05-15 |
1346461035 | Mansour M Werfalli | Dentist | 410 Highland Avenue, Malden, MA 02148 | 2007-05-01 |
1720201783 | Linda Ngoc Pham | Dentist | 58 E Border Rd, Malden, MA 02148-1104 | 2007-04-10 |
1831226539 | John R. Horne,jr. | Dentist | 315 Clifton St., Malden, MA 02148-2437 | 2007-02-28 |
Find all providers in MALDEN |
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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.