DR. FRED YOUNG KIM D.M.D
NPI 1124435771
Dentist - Pediatric Dentistry in Winchester, VA

Q: What is Fred Kim's NPI number?

The NPI number for Fred Kim is 1124435771. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Q: What is Fred Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Fred Kim was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2014

1705 AMHERST ST STE 201, WINCHESTER, VA 22601(540) 667-5437 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2021, Jun 18, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Fred Young Kim D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED YOUNG KIM D.M.D (NPI 1124435771) is an individual pediatric dentistry provider in Winchester, Virginia, licensed in Virginia (0401416364) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1124435771

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. FRED YOUNG KIMCredential: D.M.D

Location Address1705 AMHERST ST STE 201Winchester, VA 22601-3346

Mailing Address1705 Amherst St Ste 201Winchester, VA 22601-3346 · (540) 667-5437

Phone(540) 667-5437

Sole ProprietorNo

Enumeration DateJuly 15, 2014

Last NPPES UpdateMay 25, 20214 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1124435771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in VA · 0401416364✔ Licensed in TX · 33184

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1705 AMHERST ST STE 201, Winchester, VA 22601

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GAURAV AGARWAL DDS MSD

Dentist (Pediatric Dentistry)

1705 AMHERST ST STE 201
WINCHESTER, VA 22601

Winchester City (540) 667-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Kim's NPI number?

The NPI number for Fred Kim is 1124435771. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Fred Kim located?

Fred Kim practices at 1705 Amherst St Ste 201, Winchester, VA 22601. The listed phone number is (540) 667-5437.

What is Fred Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fred Kim was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.