Active NPI
Aileen Chyn Kim, DDS
- Dentist
- Alexandria, VA
National Provider Identifier
1821357443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413996
- Practice address
- 5249 Duke St
Suite L-10
Alexandria, VA 22304-2926 - Phone
- (703) 823-8812
- Fax
- (703) 823-8813
- NPI assigned
- May 16, 2012
- Last updated
- May 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413996 | VA | Primary |
Addresses
Primary practice location
5249 Duke St
Suite L-10
Alexandria, VA 22304-2926
Mailing address
5249 Duke St
Suite L-10
Alexandria, VA 22304-2926
Phone (703) 823-8812
Other names 1
- Dr. Aileen Chyn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160722002128 | PA | Order and Referring Only - Dentist | 1355634791 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BDG Specialty LLC | Current | Accepting new patients | |
| Graceful Smiles LLC | Dentist | Current | Accepting new patients |
| Blessed Smiles | Current | Accepting new patients |
Locations
5249 Duke St
Ste L10
Alexandria, VA 22304
Phone (703) 823-8812
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Alexandria, VA
- NPI 1821621467
-
- Dentist
- Springfield, VA
- NPI 1740886860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1821357443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 DUKE ST",
"address_2": "SUITE L-10",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042926",
"telephone_number": "703-823-8812",
"fax_number": "703-823-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 DUKE ST",
"address_2": "SUITE L-10",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042926",
"telephone_number": "703-823-8812",
"fax_number": "703-823-8813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "AILEEN",
"middle_name": "CHYN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AILEEN",
"last_name": "CHYN",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.