Somi Kim DMD MD PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SOMI KIM DMD MD PLLC

Practice address

117 Chestnut St
Needham, MA 02492-2515

Phone

(413) 687-1209

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Somi KimNPI 1083926950

Title

DMD MD

Phone

(413) 687-1209

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Somi Kim, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Needham, MA
  • NPI 1083926950
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1033810601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JUNIPER PL",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024203534",
            "telephone_number": "413-687-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922515",
            "telephone_number": "413-687-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMI KIM DMD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOMI",
        "authorized_official_title_or_position": "DMD MD",
        "authorized_official_telephone_number": "413-687-1209",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Snyder, LMHC
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• Rachel Song, PH.D.
• Anil Kumar Soni, MD
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• Karl W. Sorenson, M.D.
• Kirsten Sorenson, LICSW

• Oral and Maxillofacial Surgery (Dentist) in Needham, MA
• Providers in Needham, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.