Judy Seonkyung Kwon, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401410902 Issued in VA

Practice address

24560 Southpoint Dr Ste 160
Aldie, VA 20105-3505

Phone

(571) 445-5551

Fax

(571) 445-5551

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Seonkyung Judy Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Elan Dental of South Riding

  • Dental Clinic/Center
  • Aldie, VA
  • NPI 1720663735
  NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1477629764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 160",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "571-445-5551",
            "fax_number": "571-445-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 160",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "571-445-5551",
            "fax_number": "571-445-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 N Henderson Rd",
            "address_2": "Suite 16",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222032486",
            "country_code": "US",
            "telephone_number": "703-527-1020",
            "fax_number": "703-527-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "JUDY",
        "middle_name": "SEONKYUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEONKYUNG",
            "last_name": "KIM",
            "middle_name": "JUDY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jemika Shrestha Kastee, NP
• Faraz Khaleghi, PHARMACIST
• Kidfirst ABA LLC
• Elaine Kim, LCSW
• Madeline Kinkoph, NP
• Norman William Levin, M.D.
• Lifetree Internal Medicine
• Tiffany Dunbar Lione, O.D.
• Ann K Lodovichetti, PT, DPT
• Nkengo Lokulutu

• Dentist in Aldie, VA
• Providers in Aldie, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.