Active NPI
Ana Kim
- Endodontics
- Rockville, MD
National Provider Identifier
1316351364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 16908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16908 | MD | MD | Endodontist |
| 0401416929 | VA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ak Endodontics | Dentist | Current | 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.
-
- Dentist
- North Bethesda, MD
- NPI 1386393940
-
- Dentist
- Vienna, VA
- NPI 1093442766
-
- Dentist
- Brooklyn, NY
- NPI 1922542372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.