Eric Jihun Kim, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401416511131 Issued in VA

Practice address

16708 Richmond Hwy Ste 115
Dumfries, VA 22026-2770

Phone

(703) 221-4040

NPI assigned

Sep 9, 2016

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mitnick & Herbst, PC

  • Pediatric Dentistry
  • Sterling, VA
  • NPI 1417245481
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1447707260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR STE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201668504",
            "telephone_number": "703-444-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 RICHMOND HWY STE 115",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262770",
            "telephone_number": "703-221-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44110 Ashburn Shopping Plz Unit 166",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201473999",
            "country_code": "US",
            "telephone_number": "703-729-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERIC",
        "middle_name": "JIHUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401416511131",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "16871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Physical Therapy PLLC (KeyStone Physical Therapy)
• Adeel Khalid, XMT, MA
• Farah Khan
• Naeem Khan, M.D
• Shazia Khan
• Jinhee Park Kim
• Hoang N King, D.D.S.
• Nour Kinj, RPH
• Enock Koomson
• William Glynn Kotulan, PHYSICAL THERAPIST

• Orthodontics and Dentofacial Orthopedics Dentistry in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.