Kim-Ngan DO

Primary specialty

DentistTaxonomy code 122300000X

License

0401414229 Issued in VA

Practice address

8082 Crescent Park Dr
Gainesville, VA 20155-3447

Phone

(571) 261-9038

Fax

(571) 261-9133

NPI assigned

May 9, 2013

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

Enrolled in DC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• D-Smiles LLC

  • Preferred Provider Organization
  • Gainesville, VA
  • NPI 1386180149
  NPD (past) Authorized official

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1750726394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8082 CRESCENT PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553447",
            "telephone_number": "571-261-9038",
            "fax_number": "571-261-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8082 CRESCENT PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553447",
            "telephone_number": "571-261-9038",
            "fax_number": "571-261-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "KIM-NGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundas Din
• James Thomas Dingess, FNP-C
• Alyssa L Diprofio, MSOT, R/L
• Alyson Noel Dixon, AU.D.
• Sabrina C Dixon, PT
• Britanne Janell Doss, MD
• Olufunmilola Adebukunola Dosunmu, OTR
• Crystal Downs
• Georgette Driskill, DPT
• Driven Health

• Dentist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.