TIMOTHY KIM &THOMAS KIM, DDS, PC (NPI# 1497066229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497066229 |
| Entity Type | Organization |
| Organization Name | TIMOTHY KIM &THOMAS KIM, DDS, PC |
| Practice Address |
5900 Fort Dr Ste 209 Centreville VA 20121-2425 |
| Practice Telephone | 7033785777 |
| Practice Fax Number | 7033785776 |
| Mailing Telephone | 7033785777 |
| Mailing Fax Number | 7033785776 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | DR. THOMAS S KIM (VICE PRESIDENT) |
| Authorized Official Telephone | 7033785777 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
0401410757 | VA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401410634 | VA | Dental Providers |
| Street Address |
5900 FORT DR STE 209 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528096 | Adriana C Cartaya Mollejas | Dentist | 6134 Redwood Square Ctr Ste 202, Centreville, VA 20121-2642 | 2019-10-08 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1528406907 | Chad T Thorpe | Dentist | 664 E Main St Ste F, Centreville, MI 49032-8515 | 2013-06-07 |
| 1730448010 | Neibauer Dental Care, PC | Dentist | 5742 Pickwick Rd Ste 15, Centreville, VA 20121-4730 | 2012-05-08 |
| 1568785715 | James Moshier | Dentist | 6134 Redwood Sq Ctr, Suite 202, Centreville, VA 20121-2642 | 2010-03-02 |
| 1356675581 | Heather Hyeonmi Yoon | Dentist | 15054 Stillfield Pl, Centreville, VA 20120-1100 | 2009-09-21 |
| 1669705570 | Rohini B Banavar | Dentist | 6635 Mountain Shadow Trl, Centreville, VA 20120-1082 | 2009-09-09 |
| 1861666109 | Frinet Margarita Kasper | Dentist | 14631 Lee Hwy Ste 211, Centreville, VA 20121-5827 | 2008-04-17 |
| 1760684146 | Cascades Dental of Centreville | Dentist | 6134 Redwood Square Center Suite 202, Centreville, VA 20121 | 2007-06-05 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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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.