Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215787239 Individual Practitioner Male Practitioner

Junyoung Kim

Dentist • Waverly, IA

Professional Overview & Biography Verified Profile Summary

Junyoung Kim is a registered healthcare professional specializing in Dentist in Waverly, IA. Practice services are available at 1400 10TH AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 10th Ave Sw

Waverly, IA 506773752

Telephone 3193525222
Associated Practice Facility / Clinic
🏢 Heritage Dental Llc Facility NPI 1154574846

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Waverly, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Waverly, IA (760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IA DDS-10226

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1760672109

Doctor of Dental Surgery

NPI 1831645548

Doctor of Dental Surgery

NPI 1831684745

Doctor of Dental Surgery

Dr. James Maixner , DDS

Dentist - General Practice

NPI 1992746762

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 28, 2024

Registered at 1400 10TH AVE SW, WAVERLY, IA 506773752 (Tel: 3193525222)

📍
Updated Business Mailing Address June 28, 2024

Registered at 1232 LOIS LN, WATERLOO, IA 507024243 (Tel: 4694265433)

NPI Profile Active March 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2024

Registered at 1121 W MICHIGAN ST, INDIANAPOLIS, IN 462025211 (Tel: 3172747433)

📍
Updated Business Mailing Address March 25, 2024

Registered at 406 DYLAN DR, AVON, IN 461233803 (Tel: 4694265433)

👤
Provider Name / Credentials Updated March 25, 2024

Recorded as JUNYOUNG KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215787239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2024
Last Update: June 28, 2024
Sole Proprietor: No

Mailing Address

1232 Lois Ln

Waterloo, IA 507024243

Phone: 4694265433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.