DR. ERIC JIHUN KIM (NPI# 1447707260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447707260 |
| Entity Type | Individual |
| Full Name | DR. ERIC JIHUN KIM |
| Credential | DDS |
| Practice Address |
10611 Braddock Rd Fairfax VA 22032-2201 |
| Practice Telephone | 7032159029 |
| Mailing Telephone | 7032159029 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2020-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401416511131 | VA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16871 | MD | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1538535943 | Eric Moon Kim | Physical Therapist | 203 S Hampton St, Anaheim, CA 92804-2257 | 2015-08-19 |
| 1194161091 | Eric Sun Kim | Psychiatry & Neurology | 2965 Waverly Dr Apt 20, Los Angeles, CA 90039-2076 | 2013-05-17 |
| 1124463088 | Eric G Kim | Orthopaedic Surgery | 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 | 2013-05-06 |
| 1073890323 | Eric E Kim | Pharmacist | 800 W 1st St Apt 2704, Los Angeles, CA 90012-2435 | 2011-11-14 |
| 1871810150 | Eric Kim | Physical Medicine & Rehabilitation | 3116 Brookstone Dr, Effingham, SC 29541-4618 | 2010-04-27 |
| 1891828687 | Eric Kim | Dentist | 15785 Laguna Canyon Rd Ste 110, Irvine, CA 92618-3166 | 2007-03-13 |
| 1992856348 | Eric N Kim | Dentist | 300 Se 120th Ave Ste 600, Vancouver, WA 98683-4020 | 2007-01-14 |
| 1578660916 | Eric E. Kim | Internal Medicine | 4456 Manzanita Ave, Suite# C, Clearlake, CA 95422-7937 | 2006-09-20 |
| Street Address |
10611 BRADDOCK RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417214396 | Korosh Eric Armakan | Dentist | 10611 Braddock Rd, Dentistry for Children, Fairfax, VA 22032-2201 | 2012-04-18 |
| 1609357235 | Advanced Dental Anesthesia Pllc | Anesthesiology | 10611 Braddock Rd, Fairfax, VA 22032-2201 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1235585936 | Ji Youn Lim | Dentist | 4210 Fairfax Corner Ave W Ste 245, Fairfax, VA 22030-8627 | 2016-05-11 |
| 1740616275 | Ignacio Blasi Beriain Jr. | Dentist | 3224 Cambridge Ct, Fairfax, VA 22030-1912 | 2013-09-16 |
| 1467779900 | Eunyoung Kim | Dentist | 10522 Rosehaven St, 113, Fairfax, VA 22030-2860 | 2010-04-23 |
| 1891931143 | Christine Kim | Dentist | 10614 Warwick Ave Ste B, Fairfax, VA 22030-3060 | 2008-12-16 |
| 1285788810 | James M Mcdonough | Dentist | 9508b Lee Hwy, Fairfax, VA 22031-2303 | 2007-01-22 |
| 1285807370 | My Braces Doctor, PC | Dentist | 10721 Main St, #300, Fairfax, VA 22030-6914 | 2008-04-09 |
| 1598958142 | Jade Tran | Dentist | 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 | 2007-08-27 |
| 1235339466 | Sora Lee | Dentist | 11230 Waples Mill Rd, 160, Fairfax, VA 22030-6087 | 2007-07-25 |
| 1306917604 | Garret Djeu | Dentist | 10875 Main St, #106, Fairfax, VA 22030-4732 | 2006-11-10 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.