JAE KIM, MD PLC
NPI 1306308382
Otolaryngology - Facial Plastic Surgery in Fairfax, VA

NPI Status: Active since April 01, 2019

Contact Information

10721 MAIN ST STE 205
FAIRFAX, VA
ZIP 22030
Phone: (703) 705-2100
Fax: (703) 935-0330

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  • Organization
  • Otolaryngology
  • Facial Plastic Surgery

About JAE KIM, MD PLC

This page provides the complete NPI Profile along with additional information for Jae Kim, Md Plc, a provider established in Fairfax, Virginia operating as a Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1306308382 assigned on April 2019. The practitioner's primary taxonomy code is 207YS0123X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Jae Kim (Authorized Member)

NPI
1306308382
Provider Name
JAE KIM, MD PLC
Entity Type
Organization
Location Address
10721 MAIN ST STE 205 FAIRFAX, VA 22030
Location Phone
(703) 705-2100
Location Fax
(703) 935-0330
Mailing Address
2200 WILSON BLVD STE 102-219 ARLINGTON, VA 22201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2019
Last Update Date
06-11-2019
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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

Otolaryngology Facial Plastic Surgery

Taxonomy Code
207YS0123X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist who specializes in facial plastic surgery.

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)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAE KIM

Authorized Official Title
AUTHORIZED MEMBER
Authorized Official Phone
(347) 551-1113

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306308382, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 3 → 6 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 6 + 0 + 1 + 6 + 3 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1306308382.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Otolaryngology (Facial Plastic Surgery)
10721 MAIN ST STE 205
FAIRFAX, VA 22030
Clinic/Center (Ambulatory Surgical)
10721 MAIN ST STE 205
FAIRFAX, VA 22030
Internal Medicine (Cardiovascular Disease)
10721 MAIN ST STE 205
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306308382, enumerated as an "organization" on April 01, 2019.

The provider is located at 10721 MAIN ST STE 205 FAIRFAX, VA 22030 and the phone number is (703) 705-2100.

Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.