DR. JERRY CHONGMIN KIM DDS
NPI 1750459988
Dentist - General Practice in Fairfax, VA

Active since December 04, 2006
8622 LEE HWY STE A, FAIRFAX, VA 22031(703) 876-4600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Chongmin Kim Dds NPPES

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

DR. JERRY CHONGMIN KIM DDS (NPI 1750459988) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0401007221) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1750459988
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY CHONGMIN KIMCredential: DDS
Location Address8622 LEE HWY STE AFairfax, VA 22031-2148
Mailing Address10243 Brittenford DrVienna, VA 22182-1867 · (703) 716-0769
Sole ProprietorNo
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750459988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401007221
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
8622 LEE HWY STE A, Fairfax, VA 22031

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
8622 LEE HWY STE A
FAIRFAX, VA 22031

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 Jerry Kim's NPI number?

The NPI number for Jerry Kim is 1750459988. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Jerry Kim located?

Jerry Kim practices at 8622 Lee Hwy Ste A, Fairfax, VA 22031. The listed phone number is (703) 876-4600.

What is Jerry Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jerry Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Jerry 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 Jerry Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.