Organization Active NPI

Dr. Sun Hyun Kim DMD P.C

  • General Practice Dentistry
  • Stafford, VA
National Provider Identifier
1255872016
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0141412496 Issued in VA
Legal business name
DR. SUN HYUN KIM DMD P.C
Practice address
556 Garrisonville Rd
Ste 208
Stafford, VA 22554-7826
Phone
(540) 699-2414
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Dr. Sun H Kim, D.M.DNPI 1316174923
Title
Dentist
Phone
(540) 699-2414

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0141412496 VA Primary

Addresses

Primary practice location

556 Garrisonville Rd
Ste 208
Stafford, VA 22554-7826

Mailing address

556 Garrisonville Rd
Ste 208
Stafford, VA 22554-7826

Other names 1

  • Unique Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

556 Garrisonville Rd
Ste 208
Stafford, VA 22554
Phone (540) 699-2413

Practitioners & affiliated clinicians

Practitioners 2

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1255872016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD",
            "address_2": "STE 208",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 GARRISONVILLE RD",
            "address_2": "STE 208",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547826",
            "telephone_number": "540-699-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUN HYUN KIM DMD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "540-699-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0141412496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unique Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.