Won Kyung Kim, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1856020 Issued in MA

Practice address

279 Cambridge St Ste 9
Burlington, MA 01803-2549

Phone

(781) 272-5080

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joshua J Lee DMD LLC

  • Dentist
  • Burlington, MA
  • NPI 1558823104
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1215282975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 CAMBRIDGE ST STE 9",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032549",
            "telephone_number": "781-272-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 CAMBRIDGE ST STE 9",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032549",
            "telephone_number": "781-272-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WON KYUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1856020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Wong DMD PC
• Cathleen M Kim, M.D.
• Esther Kim, D.O.
• Jacob J Kim, M.D.
• Victoria Kim
• Donna Marie Kimborowicz
• Kindle Behavior Consultants
• Arianne Kindle, BCBA
• Jsane King
• Shruthi Kini

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.