DR. SANDRA KIM (D.M.D.) – Dentist, NPI 1114906575

DR. SANDRA KIM (D.M.D.) is a healthcare provider. based in Woodbridge, Virginia. specializing in Dentist. They hold the professional credentials D.M.D.. They hold a License No. 15220 (MD). The NPI Number for DR. SANDRA KIM (D.M.D.) is 1114906575

Main info

Female
Name
DR. SANDRA KIM (D.M.D.)
NPI
1114906575
Phone
(703) 680-7950
Address
4379 RIDGEWOOD CENTER DR STE 102
Enumeration Date
13 January 2006
Last Update Date
8 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DR. SANDRA KIM (D.M.D.)

  • 4379 RIDGEWOOD CENTER DR STE 102

    WOODBRIDGE, VA 221928323

    Phone: (703) 680-7950

    Fax: (703) 680-7953

    Type: Mailing

  • 2333 ONTARIO RD NW

    WASHINGTON, DC 200092627

    Phone: (202) 483-4922

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: Philips Electronics North America Corporation ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22192)

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Reviews

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Frequently asked questions

Is DR. SANDRA KIM (D.M.D.) listed with a National Provider Identifier?
Yes — DR. SANDRA KIM (D.M.D.) has NPI 1114906575 on file in the registry.
Is DR. SANDRA KIM (D.M.D.) shown as active in public data?
Registry records indicate DR. SANDRA KIM (D.M.D.) maintains an active NPI.
What clinical focus is listed for DR. SANDRA KIM (D.M.D.)?
At a glance, DR. SANDRA KIM (D.M.D.) is tied to Dentist. Clinical services aligned with this taxonomy classification.
Is DR. SANDRA KIM (D.M.D.) associated with Woodbridge?
Public fields place DR. SANDRA KIM (D.M.D.) around Woodbridge, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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