Lila Kim, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401418353 Issued in VA

Practice address

9010 Lorton Station Blvd Ste 140
Lorton, VA 22079-4794

Phone

(703) 436-4633

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 13, 2018 through Feb 13, 2028

Medicare enrollment (NPD)

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.

• Snehal Patel, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lorton, VA
  • NPI 1861625154
  NPD (past)
• Springfield Oral Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Springfield, VA
  • NPI 1013260983
  NPD (past)
• Akeso Orofacial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Laurel, MD
  • NPI 1457913907
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1629119300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 140",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794794",
            "telephone_number": "703-436-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 140",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794794",
            "telephone_number": "703-436-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120 Brandon Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502504",
            "country_code": "US",
            "telephone_number": "703-436-4633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2616 Sherwood Hall Ln Ste 403",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063154",
            "country_code": "US",
            "telephone_number": "703-436-4633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "LILA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401418353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metsihet L Kebede
• Angelynn G Keighin, BEHAVIOR TECHNICIAN
• Key Affinity Healthcare LLC
• Samer K Khattab, DDS
• Daneshia Michelle Kidd, OT
• Kind Transportation LLC
• Brigid Morgan King, DPT
• Lisa Ellen Knight, DPT
• Kaleen Ko, PT
• Doris Koduah

• Oral and Maxillofacial Surgery (Dentist) in Lorton, VA
• Providers in Lorton, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.