SANDRA KIM D.M.D.
NPI 1114906575
Dentist in Woodbridge,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 13, 2006

Contact Information

4379 Ridgewood Center Dr Ste 102
Woodbridge,
Post Code: 22192
Phone: (703) 680-7950
Fax: (703) 680-7953

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Sandra Kim D.m.d. in Woodbridge - Dentist

Sandra Kim D.m.d. is a Dentist in Woodbridge, . Sandra Kim D.m.d. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sandra Kim D.m.d. is 1114906575. The last update date is 2021-04-08.

Sandra Kim D.m.d.'s current location address is 4379 Ridgewood Center Dr Ste 102, Woodbridge, . You can contact this provider via phone number (703) 680-7950 and fax number (703) 680-7953. The mailing address for Sandra Kim D.m.d. is 4379 Ridgewood Center Dr Ste 102, Woodbridge, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114906575
Provider Name
SANDRA KIM D.M.D.
Gender
Female
Entity Type
Individual
Location Address
4379 Ridgewood Center Dr Ste 102, Woodbridge,
Location Phone
(703) 680-7950
Location Fax
(703) 680-7953
Mailing Address
2333 Ontario Rd Nw, Washington, District Of Columbia(DC)
Mailing Phone
202-483-4922
Mailing Fax
-
Enumeration Date
2006-01-13
Last Update Date
2021-04-08
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
-
License No.
DEN1000804
License State
District Of Columbia (DC)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 122300000X Dentist

Dentist

15220 (Maryland)
2 122300000X Dentist

Dentist

0401412651 (Virginia)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200285280 MEDICAID (05) Indiana (IN)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114906575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418012514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418012514
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 2 + 5 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1114906575 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013910207 CORWIN LEE BROWER
Individual
Pharmacist 1010 PENDLETON ST
RADFORD, Virginia (VA)
540-639-5884
1083617260 MARC BLATSTEIN
Individual
Podiatrist, Foot Surgery 1283 CARL D SILVER PKWY
FREDERICKSBURG, Virginia (VA)
1083617179 FRED MERKEL
Individual
Family Medicine PO BOX 9
KINGSPORT, Tennessee (TN)
423-857-2066
1003819228 HALLMARK GROUP, INC.
HALLMARK HOME HEALTH CARE
Organization
Home Health 113 MALL DR
DANVILLE, Virginia (VA)
434-799-3938
1033112172 HEATHER S SNYDER
Individual
Podiatrist, Primary Podiatric Medicine 1410 INCARNATION DR
CHARLOTTESVILLE, Virginia (VA)
434-979-0728