Individual provider Active NPI

Ana Kim

  • Endodontics
  • Rockville, MD
National Provider Identifier
1316351364
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
16908 Issued in MD
Practice address
5904 Hubbard Dr
Rockville, MD 20852-4823
Phone
(301) 377-8306
Fax
(301) 597-7757
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 16908 MD Primary
Endodontics 1223E0200X 0401416929 VA

Addresses

Primary practice location

5904 Hubbard Dr
Rockville, MD 20852-4823

Mailing address

5904 Hubbard Dr
Rockville, MD 20852-4823
Phone (301) 377-8306

Other practice location 1

311 Maple Ave W Ste J
Vienna, VA 22180-4309
Phone (571) 669-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 7, 2016 through Jan 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16908MDMDEndodontist
0401416929VAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Endodontics Dentist CurrentSince Aug 7, 2022 Accepting new patients
Ak Endodontics PLLC Dentist Current Accepting new patients
Alan B Rosenthal,DMD,PC Dentist Past Accepting new patients
Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC Dentist Past Accepting new patients

Locations

5904 Hubbard Dr
Rockville, MD 20852
Phone (301) 377-8306

311 Maple Ave W
Ste J
Vienna, VA 22180
Phone (301) 377-8306

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1316351364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524823",
            "telephone_number": "301-377-8306",
            "fax_number": "301-597-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524823",
            "telephone_number": "301-377-8306",
            "fax_number": "301-597-7757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Maple Ave W Ste J",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804309",
            "country_code": "US",
            "telephone_number": "571-669-4088",
            "fax_number": "301-597-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "16908",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401416929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.