DR. TIMOTHY J KIM (NPI# 1053533141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053533141 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J KIM |
| Credential | D.D.S. |
| Practice Address |
5900 Centreville Rd 209 Centreville VA 20121-2425 |
| Mailing Address |
5900 Centreville Rd Suite 209 Centreville VA 20121-2425 |
| Practice Telephone | 7033785777 |
| Practice Fax Number | 7033785776 |
| Mailing Telephone | 7033785777 |
| Mailing Fax Number | 7033785776 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401410757 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176121 | Timothy Kim | Pharmacist | 162 Wildey, Tarrytown, NY 10591 | 2013-07-08 |
| 1265532477 | Timothy S Kim | Dentist | 1 Lincoln Highway, Suite 6, Edison, NJ 08820 | 2006-09-25 |
| 1609482587 | Timothy Y Kim | Dentist | 3230 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-09-16 |
| 1982263299 | Timothy Suyong Kim | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Office of Education N715 Department of Medicine, Pittsburgh, PA 15213 | 2019-06-10 |
| 1972069276 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-02-12 |
| 1023588324 | Timothy Yushin Kim | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-11-29 |
| 1245725381 | Timothy Kim | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2018-06-29 |
| 1720572399 | Timothy J Kim | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2018-06-18 |
| 1003331802 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2017-08-14 |
| 1033645171 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2017-05-11 |
| Street Address |
5900 CENTREVILLE RD 209 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720108533 | Thomas S. Kim | Dentist | 5900 Centreville Rd, Centreville, VA 20121-2425 | 2007-03-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1275808438 | Smart Dental Holdings, LLC | Dentist | 223 Pierson Ave, Centreville, AL 35042-2919 | 2012-03-20 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1740577717 | Jose I Aunon | Dentist | 6134 Redwood Square Ctr, Suite 202, Centreville, VA 20121-2642 | 2011-06-29 |
| 1841524568 | Jaewon Yoon | Dentist | 14631 Lee Hwy Ste 116, Centreville, VA 20121-5825 | 2009-09-28 |
| 1891926697 | Vladyslav Ovcharenko | Dentist | 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460 | 2009-07-28 |
| 1811154529 | Luong-hung N Le | Dentist | 14637 Lee Hwy Ste 104, Centreville, VA 20121-5830 | 2008-05-20 |
| 1346433448 | Diego A Morales | Dentist | 5701 Centre Square Dr, Centreville, VA 20120-1916 | 2007-08-22 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1295802932 | Jim J Soltani | Dentist | 6019 Centreville Crest Ln, Centreville, VA 20121 | 2006-11-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
Please comment or provide details below to improve the information on DR. TIMOTHY J KIM.
| 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.