Sun Hyun Kim, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412496 Issued in VA

Practice address

556 Garrisonville Rd
Ste 208
Stafford, VA 22554-7826

Phone

(540) 699-2414

NPI assigned

Jun 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Dr. Sun Hyun Kim DMD P.C

  dba Unique Dental Care

  • General Practice Dentistry
  • Stafford, VA
  • NPI 1255872016
  NPD (past) Authorized official

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1316174923",
    "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": {
        "last_name": "KIM",
        "first_name": "SUN",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidmed Inc. (KidMed Stafford)
• Kids First Pediatrics of Stafford, PC
• Catherine Kim, PHARMD
• David Kim
• Michael K. Kim, M.D.
• Wan Sun Sun Kim, PHARM D
• Stuart Iain Kimball, NREMT
• Felisha D Kimble, DDS
• Deanna Lorea King, COTA/L
• Shelia Lynne Kirkbride, M.S.

• General Practice Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.