DR. SANG YOON KIM (NPI# 1992826333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992826333 |
| Entity Type | Individual |
| Full Name | DR. SANG YOON KIM |
| Credential | DMD, MD |
| Practice Address |
361 Maple Ave W Suite 200 Vienna VA 22180-4304 |
| Practice Telephone | 7032559400 |
| Practice Fax Number | 7032554958 |
| Mailing Telephone | 7032559400 |
| Mailing Fax Number | 7032554958 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0401413454 | VA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 0101251217 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598165748 | Sang Kim | Acupuncturist | 19900 Fisher Ave, Poolesville, MD 20837-2077 | 2014-08-25 |
| 1245527340 | Sang Yup Kim | Podiatrist | 5451 La Palma Ave Ste 26, La Palma, CA 90623-1730 | 2011-07-09 |
| 1649570755 | Sang Wan Kim | Internal Medicine | 7305 Brookview Rd Unit 306, Elkridge, MD 21075-6080 | 2010-10-25 |
| 1538335484 | Sang Yoon Kim | Dentist | 2 Perlman Dr Ste 105, Spring Valley, NY 10977-5230 | 2008-05-01 |
| 1467593236 | Sang K Kim | Acupuncturist | 430 S Western Ave, #102a, Los Angeles, CA 90020-4176 | 2007-02-12 |
| 1689760415 | Sang C. Kim | Dentist | 344 Morris Ave S, Renton, WA 98057-2521 | 2006-10-05 |
| 1568494367 | Sang You Kim | General Practice | 14273 Ruby Glen Ct, Chino Hills, CA 91709-5915 | 2006-07-06 |
| 1023054202 | Sang H Kim | Internal Medicine | 1086 N Broadway Ste 240, Yonkers, NY 10701-1115 | 2006-06-22 |
| 1205885217 | Sang Cheul Kim | Obstetrics & Gynecology | 3340 West Ball Rd, #d, Anaheim, CA 92804 | 2006-05-08 |
| 1538133723 | Sang W Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3577 W Thirteen Mile Rd, #301, Royal Oak, MI 48073 | 2006-02-14 |
| Street Address |
361 MAPLE AVE W SUITE 200 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720006661 | Christopher E. Bonacci Dds Md PC | Clinic/Center | 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304 | 2006-07-18 |
| 1609211325 | Christopher E Bonacci | Dentist | 361 Maple Ave W, Vienna, VA 22180-4304 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450319 | Kipley Powell | Oral & Maxillofacial Surgery | Vcuhs Dept of Oral&maxillofacial Residency, 980566, 1250 E. Marshall Street, Richmond, VA 23298-0566 | 2020-06-04 |
| 1235499328 | Daniel Brett Bostock | Oral & Maxillofacial Surgery | 2843 Hartland Rd Ste 150, Falls Church, VA 22043-3543 | 2012-05-22 |
| 1003131731 | Philip J. Pandolfi, Dmd, Pllc | Oral & Maxillofacial Surgery | 2105 Evelyn Byrd Ave, Harrisonburg, VA 22801-5431 | 2010-04-06 |
| 1851424675 | James Hs Whitney Dds PC | Oral & Maxillofacial Surgery | 2071 Pro Pointe Ln., Harrisonburg, VA 22801 | 2007-03-13 |
| 1164591970 | Craig Ernest Vigliante | Oral & Maxillofacial Surgery | 19440 Golf Vista Plaza, Ste 130, Leesburg, VA 20176 | 2006-11-07 |
| 1679548010 | Gene Allen Vandervort Jr. | Oral & Maxillofacial Surgery | 44340 Premier Plaza, Suite 100, Ashburn, VA 20147-5074 | 2006-02-21 |
| 1437144789 | James H Priest | Oral & Maxillofacial Surgery | 420 Hamilton Blvd, South Boston, VA 24592-5200 | 2005-09-13 |
| 1831624618 | Christopher Loschiavo | Oral & Maxillofacial Surgery | 1250 E Marshall St, Box 980566, Richmond, VA 23298-5051 | 2017-04-28 |
| 1063711208 | Sarah Elizabeth Snow Summers | Oral & Maxillofacial Surgery | 244 Hydraulic Ridge Rd, Charlottesville, VA 22901-8124 | 2011-03-25 |
| 1588867113 | Viriginia Oral Facial & Implant Surgery | Oral & Maxillofacial Surgery | 7601 Lewinsville Rd, Suite 203, Mclean, VA 22102-2814 | 2007-06-10 |
| Find all providers with the same taxonomy | ||||
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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.