JENNIFER KIM (NPI# 1548433279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548433279 |
| Entity Type | Individual |
| Full Name | JENNIFER KIM |
| Credential | D.M.D. |
| Practice Address |
3903 Fair Ridge Dr Ste 212 Fairfax VA 22033-2944 |
| Practice Telephone | 7038656880 |
| Practice Fax Number | 7038656889 |
| Mailing Telephone | 7038656880 |
| Mailing Fax Number | 7038656889 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412307 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837672 | Jennifer Kim | Physician Assistant | 18 Candy Ln, Syosset, NY 11791-4908 | 2019-02-14 |
| 1013402692 | Jennifer Park Kim | Dentist | 1671 Ih 35 E Ste 300, New Braunfels, TX 78130-6823 | 2018-06-26 |
| 1245756527 | Jennifer Kim | Behavior Technician | 7085 Tierra Roja St, El Paso, TX 79912-8492 | 2017-08-17 |
| 1205364650 | Jennifer Kim | Marriage & Family Therapist | 294 Harrington Ave Ste 6, Closter, NJ 07624-1912 | 2017-05-30 |
| 1790217115 | Jennifer Eunji Kim | Dentist | 1170 Lockhaven Way, San Jose, CA 95129-4031 | 2017-04-03 |
| 1588111645 | Jennifer Kim | Counselor | 323 N Serrano Ave Apt A, Los Angeles, CA 90004-2789 | 2016-09-07 |
| 1447614755 | Jennifer Hyun Kim | Pharmacist | 14433 Culver Dr, Irvine, CA 92604-0305 | 2016-04-12 |
| 1487035523 | Jennifer Kim | Student in an Organized Health Care Education/Training Program | 19925 22nd Ave, Whitestone, NY 11357-4121 | 2015-06-15 |
| 1255734778 | Jennifer Kim | Family Medicine | 4 E Clark Bass Blvd Ste 300, Mcalester, OK 74501-4269 | 2014-09-29 |
| 1174954879 | Jennifer Kim | Social Worker | 200 I St Se, Washington, DC 20003-3317 | 2013-12-05 |
| Street Address |
3903 FAIR RIDGE DR STE 212 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285293209 | Elham Dehyar | Dentist | 12989 Fair Lakes Shopping Ctr, Fairfax, VA 22033-5177 | 2019-06-12 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1902360068 | Fairfax Advanced Dentistry, P.C. | Dentist | 3930 Pender Dr Ste 150, Fairfax, VA 22030-0986 | 2019-01-23 |
| 1417339243 | Deepti Sareen | Dentist | 4473 Market Commons Dr, Fairfax, VA 22033-6033 | 2015-06-29 |
| 1720467368 | Vu and Associates Dental P.c | Dentist | 10622 Regent Park Ct, Fairfax, VA 22030-4209 | 2015-05-28 |
| 1841697356 | Aly Elgeddawi | Dentist | 8303 Arlington Blvd., Suite #104, Fairfax, VA 22031 | 2014-11-26 |
| 1003226655 | Kim Quy Do Dds LLC | Dentist | 8303 Arlington Blvd Ste 101, Fairfax, VA 22031-2903 | 2014-05-05 |
| 1588913172 | Noelle G Dunn | Dentist | 4323 Argonne Dr, Fairfax, VA 22032-1406 | 2012-08-29 |
| 1447506019 | Erene I. Iskander | Dentist | 4565 Whittemore Pl, Fairfax, VA 22030-6272 | 2012-08-01 |
| 1417214396 | Korosh Eric Armakan | Dentist | 10611 Braddock Rd, Dentistry for Children, Fairfax, VA 22032-2201 | 2012-04-18 |
| 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.