DR. SANDRA KIM (NPI# 1114906575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114906575 |
| Entity Type | Individual |
| Full Name | DR. SANDRA KIM |
| Credential | D.M.D. |
| Practice Address |
4379 Ridgewood Center Dr Ste 102 Woodbridge VA 22192-8323 |
| Practice Telephone | 7036807950 |
| Practice Fax Number | 7036807953 |
| Mailing Telephone | 7036807950 |
| Mailing Fax Number | 7036807953 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401412651 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200285280 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780111450 | Sandra S Kim | Social Worker | 23 Kingsberry Way, Easthampton, MA 01027-2576 | 2017-05-12 |
| 1720265283 | Sandra Kim | Internal Medicine | 31 Massachusetts Ave, #41, Boston, MA 02115-1406 | 2008-01-28 |
| 1164914958 | Sandra Myounga Kim | Behavioral Analyst | 110 Cedar St Ste 10, Wellesley, MA 02481-3527 | 2018-06-06 |
| 1306355698 | Sandra Yu Kim | Registered Nurse | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2017-09-29 |
| 1346520673 | Sandra Kim | Pharmacist | 4315 W Mcdowell Rd, Phoenix, AZ 85035-4201 | 2011-08-18 |
| 1497814008 | Sandra Denise Kim | Obstetrics & Gynecology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-12-08 |
| 1912078528 | Sandra Lee Kim | Pharmacist | 833 S Wood St, Room 164, Chicago, IL 60612-7229 | 2006-11-13 |
| 1942380043 | Sandra C Kim | Pediatrics | 4401 Penn Ave, Children's Hospital of Pittsburgh of Upmc, Division Of, Pittsburgh, PA 15224-1334 | 2006-10-16 |
| Street Address |
4379 RIDGEWOOD CENTER DR STE 102 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861492449 | Linnea P Linderman | Pediatrics | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2005-07-26 |
| 1154970630 | William Butler | Counselor | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-09-08 |
| 1801440128 | Nancy Katherine Crespo-richardson | Counselor | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-07-25 |
| 1073166096 | Teresa Rose | Nurse Practitioner | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-07-18 |
| 1407417033 | Kate Jihee Lee | Physician Assistant | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-06-25 |
| 1447810197 | Grace Carlisle Huggins | Physician Assistant | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-06-15 |
| 1588224208 | Porshca Kinlaw | Dentist | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2019-06-14 |
| 1356823215 | Deborah Jian Yuan | Nurse Practitioner | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2018-09-06 |
| 1366922791 | Monica E. Woropaj | Counselor | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 | 2018-08-15 |
| 1598277139 | Alma C Tobar | Nurse Practitioner | 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1548824568 | Muazzam Farooq | Dentist | 12423 Eden Ln, Woodbridge, VA 22192-6337 | 2019-04-24 |
| 1346778495 | Jeanne Winnie Tchuenbou Conway | Dentist | 4209 Glendale Rd, Woodbridge, VA 22193-2409 | 2017-06-01 |
| 1114378544 | Khattab Uthman Dental Associates | Dentist | 14338 Gideon Dr, Woodbridge, VA 22192-4640 | 2016-06-27 |
| 1174972590 | Admire Dental Care Pllc | Dentist | 14086 Jefferson Davis Highway, Woodbridge, VA 22191-2125 | 2016-06-07 |
| 1558759217 | Rita D. Wright D.m.d Pllc | Dentist | 3985 Prince William Pkwy Ste 103, Woodbridge, VA 22192-7900 | 2015-01-05 |
| 1841692324 | Jamil Sowan | Dentist | 14393 Orange Ct, Woodbridge, VA 22191-2620 | 2014-09-16 |
| 1962811950 | Ansam Zaiber | Dentist | 1693 Burntwood Ct, Woodbridge, VA 22191-1507 | 2014-08-05 |
| 1477896785 | Daniel Dafo | Dentist | 4391 Ridgewood Center Dr Unit 1c, Woodbridge, VA 22192-5399 | 2013-04-04 |
| 1104120286 | Matthew Gerald | Dentist | 1918 Opitz Blvd., Woodbridge, VA 22191 | 2011-01-04 |
| 1215238860 | Dr. Mesfin Zelleke, P.C. | Dentist | 14228 Smoketown Rd, Woodbridge, VA 22192-4708 | 2010-11-14 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.