DR. MICHAEL HANSOO KIM (NPI# 1659385367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659385367 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HANSOO KIM |
| Credential | DDS |
| Practice Address |
21001 Sycolin Rd Suite 240 Ashburn VA 20147-4073 |
| Practice Telephone | 7037234224 |
| Mailing Telephone | 7037234224 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401413573 | VA | Dental Providers |
| N | 122300000X | Dentist | 2901018597 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4631948 | 05 | |
| MI | 4631957 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
| 1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
| 1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
| 1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
| 1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
| Street Address |
21001 SYCOLIN RD SUITE 240 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699125930 | Ashley Decamp | Psychologist | 21001 Sycolin Rd, Suite 360, Ashburn, VA 20147-4073 | 2016-06-17 |
| 1902207327 | Goose Creek Village Dental | Clinic/Center | 21001 Sycolin Rd, Suite 240, Ashburn, VA 20147-4073 | 2014-09-05 |
| 1013342161 | Virginia Smiles Pllc | Dentist | 21001 Sycolin Rd, Ste 100, Ashburn, VA 20147-4069 | 2013-09-09 |
| 1003251737 | Ashburn Walk-in Clinic & Primary Care | Preferred Provider Organization | 21001 Sycolin Rd, Unit 180, Ashburn, VA 20147-4069 | 2013-05-08 |
| 1790798965 | Howard A Glick | Psychiatry & Neurology | 21001 Sycolin Rd, Ashburn, VA 20147-4073 | 2006-08-15 |
| 1013921717 | Suhad Kim | Dentist | 21001 Sycolin Rd, Suite 240, Ashburn, VA 20147-4073 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| 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 |
|---|---|---|---|---|
| 1801270467 | Jayamole Zachariah | Dentist | 21406 Ashburn Run Pl, Ashburn, VA 20147-5347 | 2015-07-14 |
| 1164820122 | Naderplc | Dentist | 44014 Cheltenham Cir, Ashburn, VA 20147-4900 | 2014-12-08 |
| 1437562246 | Giannina Montero Mcbryde | Dentist | 44664 Provincetown Dr, Ashburn, VA 20147-5557 | 2014-06-09 |
| 1710314661 | Drs Bachour & Church, Pllc | Dentist | 20405 Exchange St, Suite 201, Ashburn, VA 20147-5909 | 2013-10-07 |
| 1750633301 | Ashburn Divine Dental | Dentist | 20915 Ashburn Rd Ste 205, Ashburn, VA 20147-5679 | 2012-10-05 |
| 1841549243 | Mike H Nguyen | Dentist | 20459 Codman Dr, Ashburn, VA 20147-2540 | 2012-08-31 |
| 1326393117 | Wasim Nizamuddin Qureshi | Dentist | 21001 Sycolin Rd Ste 100, Ashburn, VA 20147-4074 | 2012-07-17 |
| 1134407117 | Duy-anh Duc Vu | Dentist | 20915 Ashburn Rd Ste 245, Ashburn, VA 20147-5679 | 2011-07-25 |
| 1578794277 | Jung-mee Hwang | Dentist | 44345 Premier Plz Ste 220, Ashburn, VA 20147 | 2009-07-30 |
| 1700029279 | Maya Bassam Bachour | Dentist | 20405 Exchange St Ste 201, Ashburn, VA 20147-5934 | 2009-04-14 |
| Find all providers in ASHBURN | ||||
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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.