Seung Wook Kim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410672 Issued in VA

Practice address

6800 Backlick Rd
Suite #101
Springfield, VA 22150-3070

Phone

(703) 569-2822

Fax

(703) 569-2829

NPI assigned

Dec 14, 2007

Sex

Male

Sole proprietor

No

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

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.

• Dr Ansam Zaiber LLC

  • Dentist
  • Springfield, VA
  • NPI 1811627169
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1841473634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD",
            "address_2": "SUITE #101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503070",
            "telephone_number": "703-569-2822",
            "fax_number": "703-569-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BACKLICK RD",
            "address_2": "SUITE #101",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503070",
            "telephone_number": "703-569-2822",
            "fax_number": "703-569-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SEUNG",
        "middle_name": "WOOK",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eun Kim
• Hie C Kim, M.D.
• James Paul Kim, O.D.
• Jong-Yoon Kim
• Kenneth Yong Kim, DC
• Yong Hyun Kim, D.M.D.
• Youngdae Kim, DMD
• Kings Park Dental, LLC
• Mary Kinman, OTR
• Megan Kathleen Kipp, LCSW

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, 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 14, 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.