Organization Active NPI

BK Smile PLLC

Doing business as Smiles of Sterling

  • Dental Clinic/Center
  • Sterling, VA
National Provider Identifier
1669180634
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BK SMILE PLLC
Doing business as
Smiles of Sterling
Practice address
21155 Whitfield PL Ste 101
Sterling, VA 20165-7277
Phone
(703) 430-9317
NPI assigned
Nov 9, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Dr. Bomi KimNPI 1962997130
Title
Owner
Phone
(703) 967-0036

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

21155 Whitfield PL Ste 101
Sterling, VA 20165-7277

Mailing address

21155 Whitfield PL Ste 101
Sterling, VA 20165-7277
Phone (703) 430-9317

Other names 1

  • SMILES OF STERLING Doing business as

National Provider Directory

National Provider Directory

Locations

21155 Whitfield Pl
Ste 101
Sterling, VA 20165
Phone (703) 430-9317

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1669180634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL STE 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657277",
            "telephone_number": "703-430-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL STE 101",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201657277",
            "telephone_number": "703-430-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BK SMILE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-967-0036",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILES OF STERLING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.