Active NPI
Ji Won Kim
- Dentist
- Methuen, MA
National Provider Identifier
1013713577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10001446
- Practice address
- 100 Milk St Ste 120
Methuen, MA 01844-4600 - Phone
- (978) 688-4441
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN10001446 | MA | Primary |
Addresses
Primary practice location
100 Milk St Ste 120
Methuen, MA 01844-4600
Mailing address
100 Milk St Ste 120
Methuen, MA 01844-4600
Phone (978) 688-4441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1013713577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MILK ST STE 120",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444600",
"telephone_number": "978-688-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MILK ST STE 120",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444600",
"telephone_number": "978-688-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JI WON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-24",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10001446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.