Keun Hwan Kim, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN10000786 Issued in MA

Practice address

892 Plain St Ste 5
Marshfield, MA 02050-2191

Phone

(415) 688-9319

NPI assigned

Mar 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Daniel Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1053112144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WALPOLE ST APT 7",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020211852",
            "telephone_number": "415-688-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 PLAIN ST STE 5",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502191",
            "telephone_number": "415-688-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KEUN HWAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN10000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "KIM",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelmelis Counseling LLC
• Lillian Kelmelis
• James M Kennedy
• Lynda C. Ketcham, LICSW
• Mackenzie Rose Kewley, LCSW
• Norman L Kinan, RPH
• Walter Courtlandt King, LICSW
• Susan Miller Kountz, LICSW
• Amy L Krzyzewski
• Elizabeth Connelly Kudzma, DNSC MPH WHNP-BC

• Periodontics in Marshfield, MA
• Providers in Marshfield, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.