Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Spine and Sports Regenerative Medicine Institute

Interventional Pain Medicine Physician in Fairfax, VA · enumerated 2024 · authorized official David Kim, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114764107

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Registry record

Entity type Organization (Type 2)

Legal business name Spine and Sports Regenerative Medicine Institute

Other name <Unavail>

Practice address 10721 Main St Ste 304, Fairfax, VA, 22030

Phone (703) 349-4205

Fax (703) 349-4205

Enumeration date Jul 9, 2024

Last updated in NPPES Jul 16, 2024

Taxonomy & classification

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name David Kim

Title Ceo

Phone (703) 349-4205

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-16. Verify at npiregistry.cms.hhs.gov.

Where is Spine and Sports Regenerative Medicine Institute located?

The practice location on file with NPPES is in Fairfax, VA.

Providers at this address

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David Kim Interventional Pain Medicine Physician · Fairfax, VA NPI 1073530523

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-16.