Suhad Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401413572 Issued in VA

Practice address

21001 Sycolin Rd
Suite 240
Ashburn, VA 20147-4073

Phone

(703) 723-4224

NPI assigned

Jul 28, 2006

Last updated

Aug 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Suhad Hadad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goose Creek Village Dental

  • Dental Clinic/Center
  • Ashburn, VA
  • NPI 1902207327
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1013921717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD",
            "address_2": "SUITE 240",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474073",
            "telephone_number": "703-723-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 SYCOLIN RD",
            "address_2": "SUITE 240",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474073",
            "telephone_number": "703-723-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUHAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018625",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUHAD",
            "last_name": "HADAD",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cindy H Kim, MD
• Daniel Kim
• Eunice Kim
• Hye Sung Kim, L.AC
• Michael Hansoo Kim, DDS
• Deborah Lee Kimball, MA, CAS
• Teri Ann Kimball, M.A.
• Kind Angels Homecare Services LLC
• Karen Kingsley, PH.D.
• Heidi Dike Kingston, LCSW

• Dentist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.