Young Hoon Kim, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411246 Issued in VA

Practice address

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

Phone

(703) 425-1846

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Tysons Corner Dental PC,

  • Dental Clinic/Center
  • Vienna, VA
  • NPI 1346091907
  NPD Authorized official
• Young Kim D.M.D. P.C,

  • General Practice Dentistry
  • Burke, VA
  • NPI 1649548884
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198540800000",
    "number": "1760544993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43850 HEATHERSTONE TER",
            "address_2": "#308",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763419",
            "telephone_number": "703-723-7451"
        },
        {
            "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": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "HOON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036561L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin Young Kim, DMD
• Karen Jinyoung Kim
• Paula Kim
• Sarah Kim, MS OTR/L
• Tina Sun-Jung Kim, PHARM.D
• Virginia Grimes Kinzer, CRNP
• Cherie Lora Kitchell, MSW
• Rodney John Klima, D.D.S.
• Judith Vashti Knight
• Jae-Hyon Ko

• General Practice Dentistry in Burke, VA
• Providers in Burke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2007; 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.