Dae Young Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417975 Issued in VA

Practice address

7200 Heritage Village PLZ Ste 102
Gainesville, VA 20155-3070

Phone

(703) 348-4299

NPI assigned

Oct 27, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in VA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dae Young Kim, PLLC (D/B/a the Corner Dental)

  • General Practice Dentistry
  • Gainesville, VA
  • NPI 1477483964
  NPD Authorized official

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1427775766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ARISTOTLE CT APT 309",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HERITAGE VILLAGE PLZ STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553070",
            "telephone_number": "703-348-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAE YOUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key Assessments and Solutions
• Ahmed Khalil, MD
• John Hassan Khouri, D.M.D.
• Natasha Khurana, DDS, IBCLC
• Jason P. Kiangsoontra, DDS, MS, FACP
• Matthew Peter Kim, DDS
• Christopher Kirby, DPT
• Mary Elizabeth Kirkpatrick
• Ludmila Marie Kissi, M.D.
• KLC Counseling Services, LLC

• General Practice Dentistry in Gainesville, VA
• Providers in Gainesville, 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 Jul 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.