SJ Samuel Nam DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SJ SAMUEL NAM DDS PLLC

Doing business as

Broadview Dental

Practice address

101 W Broad St Ste 200
Falls Church, VA 22046-4200

Phone

(571) 584-0020

Fax

(571) 584-0086

NPI assigned

Apr 20, 2026

Organization subpart

No

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

Authorized official

Name

Sang-Jin Samuel Nam, DDSNPI 1164910154

Title

Owner

Phone

(571) 584-0020

Specialties & licenses 1

Addresses

Other names 1

• Broadview Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sang-Jin Samuel Nam, DDS

  • General Practice Dentistry
  • Springfield, VA
  • NPI 1164910154
  NPD Authorized official

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1427992320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W BROAD ST STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464200",
            "telephone_number": "571-584-0020",
            "fax_number": "571-584-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROAD ST STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464200",
            "telephone_number": "571-584-0020",
            "fax_number": "571-584-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ SAMUEL NAM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "SANG-JIN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-584-0020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadview Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rorrie Elizabeth Sisk, CMT
• Kim Sisouk, PHARMD
• Nichole Marie Sisserson, PA-C
• Santhi Sivakumar
• Rukmani Sivalingam, MD
• Robert W Sjogren Jr., M.D.
• Belma Skaljic
• Steven Wayne Skobel, NP
• Marie Frances Skoczlas
• Skyline Towers Dental Group

• General Practice Dentistry in Falls Church, VA
• Providers in Falls Church, 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 Apr 20, 2026; 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.