Yoon Jae Kim, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855295 Issued in MA

Practice address

165 Belmont St Ste a
South Easton, MA 02375-1952

Phone

(508) 230-0048

NPI assigned

Oct 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• East End Dental Wellness PC

  • Dental Clinic/Center
  • South Easton, MA
  • NPI 1154723443
  NPD Authorized official
• Granite Fields Dental, PLLC

  • Dental Clinic/Center
  • Hampstead, NH
  • NPI 1649434275
  NPD (past)
• Nashua Area Family Dentistry

  • General Practice Dentistry
  • Nashua, NH
  • NPI 1396801312

  General Practice

  NPD (past)

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1295069722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BELMONT ST STE A",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751952",
            "telephone_number": "508-230-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BELMONT ST STE A",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751952",
            "telephone_number": "508-230-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOON",
        "middle_name": "JAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2022-08-29",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03749",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Michelle Jurs
• Martha Burke Kaufman, L.I.C.S.W.
• Kathryn Burke Kelly, APRN-BC
• Sean Kelly, OTR
• Sonali Arun Khond, M.D.
• Robert Owen Kirk, D.D.S.
• Allison A Kitson, LICSW
• Michael Klein, MD
• Myla S Lacson, RPT
• Ashley Andre Lameiras, AUD

• All providers in South Easton, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.