Shawn J Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417353 Issued in VA

Practice address

2550 S Clark St Ste 100a
Arlington, VA 22202-3962

Phone

(703) 223-8728

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Apk Smiles

  • Dentist
  • Arlington, VA
  • NPI 1720756703
  NPD (past)
• Landmark Dental, P.C.

  • General Practice Dentistry
  • Alexandria, VA
  • NPI 1922865781
  NPD (past)
• Mount Vernon Modern Dentistry, PC

  • Dentist
  • Alexandria, VA
  • NPI 1265916399
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1568080414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "509-768-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S CLARK ST STE 100A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222023962",
            "telephone_number": "703-223-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SHAWN",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN2000225",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae S. Kim, DDS
• Jae Y Kim, M.D.
• Michelle Kim, M. CL. SC.
• Nancy Carol Kim, MD
• Rebecca Anne Wyckoff Kim, PHD
• Yeo Lim Kim
• Alderick Van Kinchen
• Kinections Physical Therapy & Fitness, LLC
• Alaina C King-Harvey, LCSW
• Jennifer Pitts King, ANP

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, 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 10, 2025; 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.