Individual provider Active NPI

Min Seong Kim, DMD

  • General Practice Dentistry
  • King George, VA
National Provider Identifier
1871172049
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401418637 Issued in VA
Practice address
5212 Kings Wood LN
King George, VA 22485-5612
Phone
(540) 663-2221
NPI assigned
Apr 5, 2021
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401418637 VA Primary

Addresses

Primary practice location

5212 Kings Wood LN
King George, VA 22485-5612

Mailing address

5212 Kings Wood LN
King George, VA 22485-5612
Phone (540) 663-2221

Other practice location 1

20630 Ashburn Rd Ste 196
Ashburn, VA 20147-5626
Phone (410) 900-2545

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

LicenseStateTypeSpecialty
0401418637VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MSK.DMD, PLLC General Practice Current Accepting new patients
Annville Dental Group PLLC CurrentSince Jun 12, 2022 Accepting new patients
Silverman Dental Associates PC PastSince Apr 11, 2021 Accepting new patients
James WM Donahue and Sang W Cho, DDS Past Accepting new patients

Locations

1 Jasons Way
Annville, PA 17003
Phone (717) 867-5088

20630 Ashburn Rd
Ste 196
Ashburn, VA 20147
Phone (410) 900-2545

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1871172049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 KINGS WOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855612",
            "telephone_number": "540-663-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KINGS WOOD LN",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855612",
            "telephone_number": "540-663-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20630 Ashburn Rd Ste 196",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201475626",
            "country_code": "US",
            "telephone_number": "410-900-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIN SEONG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.