Active NPI
Erica Kyung, DMD
- Pediatric Dentistry
- Dumfries, VA
National Provider Identifier
1801389929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401418173
- Practice address
- 16708 Richmond Hwy Ste 115
Dumfries, VA 22026-2770 - Phone
- (703) 221-4040
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401418173 | VA | Primary |
Addresses
Primary practice location
16708 Richmond Hwy Ste 115
Dumfries, VA 22026-2770
Mailing address
16708 Richmond Hwy Ste 115
Dumfries, VA 22026-2770
Phone (703) 221-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418173 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1801389929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16708 RICHMOND HWY STE 115",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262770",
"telephone_number": "703-221-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16708 RICHMOND HWY STE 115",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220262770",
"telephone_number": "703-221-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYUNG",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401418173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.