Bomi Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416117 Issued in VA

Practice address

563 James Madison Hwy
Culpeper, VA 22701-2365

Phone

(540) 827-4076

NPI assigned

Jun 28, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• BK Smile PLLC

  • Dental Clinic/Center
  • Sterling, VA
  • NPI 1669180634
  NPD Authorized official
• Yj Smile PLLC

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1528990033
  NPD Authorized official

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1962997130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 TWINBROOK RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322047",
            "telephone_number": "703-967-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 JAMES MADISON HWY",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012365",
            "telephone_number": "540-827-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BOMI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laveena Khanchandani, PSYD
• Shiv R. Khandelwal, MD
• Yasser Muhammed Khedr, DDS
• Walter Kilby, M.D.
• Jennifer Khaziga Kilel
• Chad Kim
• Jason Paul Kim
• Jun W. Kim, M.D.
• Joshua D. King, M.D.
• Maryam Zohreh Kirnos

• General Practice Dentistry in Culpeper, VA
• Providers in Culpeper, 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 Jun 28, 2018; 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.

Verify at the official NPI Registry.