Organization Active NPI

Dr. Kim Ierna Kitchen, P.C.

  • Dentist
  • Alexandria, VA
National Provider Identifier
1134339328
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401007329 Issued in VA
Legal business name
DR. KIM IERNA KITCHEN, P.C.
Practice address
500 Montgomery St
Suite 250
Alexandria, VA 22314-1565
Phone
(703) 836-7000
Fax
(703) 836-7432
NPI assigned
May 23, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Kim Ierna Kitchen, DDSNPI 1356552277
Title
Officer
Phone
(703) 836-7000

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
Dentist 122300000X 0401007329 VA Primary

Addresses

Primary practice location

500 Montgomery St
Suite 250
Alexandria, VA 22314-1565

Mailing address

500 Montgomery St
Suite 250
Alexandria, VA 22314-1565
Phone (703) 836-7000

National Provider Directory

National Provider Directory

Locations

500 Montgomery St
Ste 250
Alexandria, VA 22314
Phone (703) 836-7000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1134339328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONTGOMERY ST",
            "address_2": "SUITE 250",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141565",
            "telephone_number": "703-836-7000",
            "fax_number": "703-836-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONTGOMERY ST",
            "address_2": "SUITE 250",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141565",
            "telephone_number": "703-836-7000",
            "fax_number": "703-836-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIM IERNA KITCHEN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "IERNA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "703-836-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.