Organization Active NPI

Kim and Kim Family Dental Group PC

  • Dental Clinic/Center
  • Lawrence, MA
National Provider Identifier
1154209237
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIM AND KIM FAMILY DENTAL GROUP PC
Practice address
100 Amesbury St Ste 204
Lawrence, MA 01840-1321
Phone
(978) 683-5311
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Dr. Dong Won Kim, DMD
Title
Owner
Phone
(617) 888-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Amesbury St Ste 204
Lawrence, MA 01840-1321

Mailing address

100 Amesbury St Ste 204
Lawrence, MA 01840-1321
Phone (978) 683-5311

National Provider Directory

National Provider Directory

Locations

100 Amesbury St
Ste 204
Lawrence, MA 01840
Phone (978) 683-5311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1154209237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST STE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-683-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AMESBURY ST STE 204",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401321",
            "telephone_number": "978-683-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND KIM FAMILY DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-888-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.