NPIMap

Organization Active NPI

Young Kim D.M.D. P.C,

  • General Practice Dentistry
  • Burke, VA
National Provider Identifier
1649548884
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411246 Issued in VA
Legal business name
YOUNG KIM D.M.D. P.C,
Doing business as
YoungSmile Dental
Practice address
9000 Fern Park Dr
Unit A2
Burke, VA 22015-1602
Phone
(703) 425-1846
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. Young Hoon Kim, D.M.D.NPI 1760544993
Title
Director
Phone
(703) 425-1846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411246 VA Primary

Addresses

Primary practice location

9000 Fern Park Dr
Unit A2
Burke, VA 22015-1602

Mailing address

9000 Fern Park Dr
Unit A2
Burke, VA 22015-1602
Phone (703) 425-1846

Other names 1

  • YoungSmile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9000 Fern Park Dr
Unit A2
Burke, VA 22015
Phone (703) 425-1846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1649548884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FERN PARK DR",
            "address_2": "UNIT A2",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151602",
            "telephone_number": "703-425-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FERN PARK DR",
            "address_2": "UNIT A2",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151602",
            "telephone_number": "703-425-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG KIM D.M.D. P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-425-1846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YoungSmile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.