Virginia Kim

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002513 Issued in IL

Practice address

830 W End CT
Suite 175
Vernon Hills, IL 60061-1365

Phone

(847) 367-4920

Fax

(847) 367-4943

NPI assigned

Mar 27, 2014

Sex

Female

Sole proprietor

Yes

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.

• Graber Orthodontics

  • Dental Clinic/Center
  • Vernon Hills, IL
  • NPI 1437554342
  NPD (past)

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1821415852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W END CT",
            "address_2": "SUITE 175",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611365",
            "telephone_number": "847-367-4920",
            "fax_number": "847-367-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W END CT",
            "address_2": "SUITE 175",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611365",
            "telephone_number": "847-367-4920",
            "fax_number": "847-367-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029341",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashima Khanna
• Neha Khemani, MD
• Ali Khoshkish, MD
• Dianna Katherine Kim, MD
• Rachel Kim
• Kari LG Kimpton, LCSW
• Yuliya Kin-Kartsimas, M.D.
• John Nicholas Kiriklakis, M.D.
• Alexander Kiseloff, LISW-S, LCSW
• Kish Psychiatric Services & Consulting, P.L.L.C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.