Active NPI
Dwight Kim
- Acupuncturist
- Annandale, VA
National Provider Identifier
1609311166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0121000814
- Practice address
- 7535 Little River Tpke
103A
Annandale, VA 22003-2937 - Phone
- (703) 595-2125
- Fax
- (888) 276-6354
- NPI assigned
- Dec 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121000814 | VA | Primary |
Addresses
Primary practice location
7535 Little River Tpke
103A
Annandale, VA 22003-2937
Mailing address
7535 Little River Tpke
103A
Annandale, VA 22003-2937
Phone (703) 595-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0121000814 | VA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482105600000",
"number": "1609311166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 LITTLE RIVER TPKE",
"address_2": "103A",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032937",
"telephone_number": "703-595-2125",
"fax_number": "888-276-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 LITTLE RIVER TPKE",
"address_2": "103A",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032937",
"telephone_number": "703-595-2125",
"fax_number": "888-276-6354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DWIGHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121000814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.