JONATHAN KIM (NPI# 1982152534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982152534 |
| Entity Type | Individual |
| Full Name | JONATHAN KIM |
| Credential | DDS |
| Practice Address |
1620 E 2nd St Ste A Beaumont CA 92223-3171 |
| Mailing Address |
11365 Boone Way Loma Linda CA 92354-3885 |
| Practice Telephone | 9517699131 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 100850 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120091 | Jonathan Kim | Dentist | 7910 W Tropical Pkwy Ste 140, Las Vegas, NV 89149-4555 | 2019-08-20 |
| 1083084404 | Jonathan Kim | Dentist | 27289 Willow Leaf Rd, Moreno Valley, CA 92555-4755 | 2015-09-28 |
| 1497070734 | Jonathan Jaeyoung Kim | Chiropractor | 7 Broad Ave Ste 309, Palisades Park, NJ 07650-1886 | 2010-03-30 |
| 1457527418 | Jonathan H Kim | Dentist | 1725 Berryessa Rd, Suite B, San Jose, CA 95133-1173 | 2008-04-30 |
| 1073698650 | Jonathan Kim | Optometrist | 11903-i Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033 | 2006-10-25 |
| 1669418893 | Jonathan Yonghwan Kim | Chiropractor | 11766 Firestone Blvd, Norwalk, CA 90650-2898 | 2006-06-22 |
| 1013568294 | Jonathan Juyun Kim | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-09-27 |
| 1801390109 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-03-21 |
| 1033643887 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2017-04-19 |
| 1093263444 | Jonathan Kim | Pharmacist | 3553 Whipple Rd, Union City, CA 94587-1507 | 2016-09-14 |
| Street Address |
1620 E 2ND ST STE A |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| 1043862006 | Seth Stacey | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223-3171 | 2019-07-10 |
| 1144707670 | Ashlee Megan Sumilat | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223-3171 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1275918013 | Devin Francois Borna | Anesthesiology | 81 Highland Springs Ave Ste 100a, Beaumont, CA 92223 | 2015-07-22 |
| Find all providers in zip 92223 | ||||
| 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 |
|---|---|---|---|---|
| 1487215729 | Joseph Donatelli Morales | Dentist | 1610 E 2nd St, Beaumont, CA 92223-3166 | 2019-06-26 |
| 1154805117 | Andrea Moore Dental Corporation | Dentist | 1620 E 1st St Ste 200, Beaumont, CA 92223-3174 | 2018-09-17 |
| 1073004065 | Emily Anne Hicks | Dentist | 1595 Cornerstone Ct Ste B, Beaumont, TX 77706-4066 | 2018-05-24 |
| 1609302553 | Hassan Asghar | Dentist | 1110 Longfellow Dr # B, Beaumont, TX 77706-4820 | 2017-05-11 |
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1750775615 | Jasper Family Dental Pllc | Dentist | 860 S 11th St, Suite 101, Beaumont, TX 77701-3736 | 2015-03-27 |
| 1851785588 | Soumava Sen,dds, P.C. | Dentist | 3565 College St Ste B, Beaumont, TX 77701-4615 | 2015-03-19 |
| 1790194819 | Billy Eston Horton | Dentist | 3695 Fm 3514, Beaumont, TX 77705-7653 | 2014-08-04 |
| Find all providers in BEAUMONT | ||||
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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.