Active NPI
Ryan Kim, DDS
- Dentist
- Haymarket, VA
National Provider Identifier
1194644492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401420143
- Practice address
- 14901 Washington St
Haymarket, VA 20169-2921 - Phone
- (703) 753-7077
- NPI assigned
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401420143 | VA | Primary |
Addresses
Primary practice location
14901 Washington St
Haymarket, VA 20169-2921
Mailing address
14400 Glen Manor Dr Apt 586
Chantilly, VA 20151-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Movak PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Haymarket, VA
- NPI 1891491049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194644492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14400 GLEN MANOR DR APT 586",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 WASHINGTON ST",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201692921",
"telephone_number": "703-753-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "RYAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-13",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401420143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haymarket, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.