Young Kim DDS of Centreville PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUNG KIM DDS OF CENTREVILLE PLLC

Practice address

13880 Braddock Rd Ste 311
Centreville, VA 20121-2462

Phone

(704) 941-4332

NPI assigned

Jun 17, 2024

Last updated

Jun 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Young Kim, DDSNPI 1437687605

Title

Owner

Phone

(704) 941-4332

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Young Min Kim, DDS

  • Dentist
  • Sterling, VA
  • NPI 1437687605
  NPD Authorized official

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1609619774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41713 MCMONAGLE SQ",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201056028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 311",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "704-941-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM DDS OF CENTREVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-941-4332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wang Young Yoo, DIPL. OM, L.AC, PHD
• Heather Hyeonmi Yoon, DDS
• Jaewon Yoon, D.M.D.
• Tracey Sue Yost, OTR/L
• Sugkee Youn, M.D.
• Rania Ali Yousif
• Abdul M Yousufzai
• Mohammad Fahim Yousufzai
• Aniqa Zaheer, HO 1
• Yong Zhang, RPH

• Dental Clinic/Center in Centreville, VA
• Providers in Centreville, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.