DR. JIEON KIM D.D.S.
NPI 1578946604
Dentist - Pediatric Dentistry in Alexandria, VA

Q: What is Jieon Kim's NPI number?

The NPI number for Jieon Kim is 1578946604. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Q: What is Jieon 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 Jieon Kim was last updated on November 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 07, 2015PECOS Enrolled

6354 WALKER LN STE 103, ALEXANDRIA, VA 22310(703) 417-9722 Get Directions Write a Review

NPPES record last updated: November 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 27, 2022, Sep 7, 2022 (2 updates tracked since 2022).

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About Dr. Jieon Kim D.d.s. NPPES

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

DR. JIEON KIM D.D.S. (NPI 1578946604) is an individual pediatric dentistry provider in Alexandria, Virginia, licensed in Virginia (0401417707) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578946604

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JIEON KIMCredential: D.D.S.

Location Address6354 WALKER LN STE 103Alexandria, VA 22310-3242

Mailing Address6354 Walker Ln Ste 103Alexandria, VA 22310-3242

Phone(703) 417-9722

Sole ProprietorYes

Enumeration DateJuly 7, 2015

Last NPPES UpdateNovember 27, 20222 updates tracked since enumeration

NPPES CertifiedNovember 27, 2022

✔ NPI 1578946604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in VA · 0401417707

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.

6354 WALKER LN STE 103, Alexandria, VA 22310

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jieon Kim D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DIANA WAHID FARAG ELIAS DDS

Dentist

6354 WALKER LN STE 103
ALEXANDRIA, VA 22310

Fairfax County (657) 259-7398

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 Jieon Kim's NPI number?

The NPI number for Jieon Kim is 1578946604. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Jieon Kim located?

Jieon Kim practices at 6354 Walker Ln Ste 103, Alexandria, VA 22310. The listed phone number is (703) 417-9722.

What is Jieon Kim's specialty?

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

Is Jieon Kim enrolled in Medicare?

Yes. Jieon Kim is registered in the Medicare PECOS enrollment system.

What insurance does Jieon Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jieon Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jieon Kim was last updated on November 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.