Active NPI
Hoang Kim DO, DDS
- General Practice Dentistry
- Alexandria, VA
National Provider Identifier
1356367148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7286
- Practice address
- 5266 Dawes Ave
Alexandria, VA 22311-1404 - Phone
- (703) 845-8741
- Fax
- (703) 671-7906
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7286 | VA | Primary |
Addresses
Primary practice location
5266 Dawes Ave
Alexandria, VA 22311-1404
Mailing address
5266 Dawes Ave
Alexandria, VA 22311-1404
Phone (703) 845-8741
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21369 | Other | VA | DENTAL HEALTH ALLIANCE |
| 9178588 | Other | VA | DORAL |
| 890691 | Other | VA | UNITED CONCORDIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7286 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoang K. DO, DDS, LLC | General Practice | 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
- Alexandria, VA
- NPI 1790900058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356367148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5266 DAWES AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111404",
"telephone_number": "703-845-8741",
"fax_number": "703-671-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5266 DAWES AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223111404",
"telephone_number": "703-845-8741",
"fax_number": "703-671-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "HOANG",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "7286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HEALTH ALLIANCE",
"identifier": "21369",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "9178588",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "890691",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.