NPIMap

Organization Active NPI

Kim Quy DO DDS LLC

  • Dentist
  • Fairfax, VA
National Provider Identifier
1003226655
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401006973 Issued in VA
Legal business name
KIM QUY DO DDS LLC
Practice address
8303 Arlington Blvd Ste 101
Fairfax, VA 22031-2903
Phone
(703) 876-2606
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim DONPI 1487676672
Title
DDS
Phone
(703) 876-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401006973 VA Primary

Addresses

Primary practice location

8303 Arlington Blvd Ste 101
Fairfax, VA 22031-2903

Mailing address

8303 Arlington Blvd Ste 101
Fairfax, VA 22031-2903

National Provider Directory

National Provider Directory

Locations

8303 Arlington Blvd
Ste 101
Fairfax, VA 22031
Phone (703) 876-2606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1003226655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-876-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM QUY DO DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "703-876-2606"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.