Sarah So Young Kim

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN1859037 Issued in MA

Practice address

50 Staniford St Ste 303
Boston, MA 02114-2542

Phone

(617) 648-9403

NPI assigned

May 16, 2021

Sex

Female

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.

• Sarah Kim DMD, Ms, LLC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1154091643
  NPD Authorized official
• Sarah Kim DMD, Ms, LLC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1972273464
  NPD Authorized official

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

{
    "created_epoch": "1621123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1376117259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONGFELLOW PL APT 1804",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142815",
            "telephone_number": "484-786-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 303",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142542",
            "telephone_number": "617-648-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Farnsworth St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022101211",
            "country_code": "US",
            "telephone_number": "617-802-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SARAH",
        "middle_name": "SO YOUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-16",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1859037",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Kim
• Ryan Kim, DDS
• Sahra Kim, M.A., PSY.D.
• San Kim
• Sandra Kim
• SE Yun Kim
• Seok Yong Kim
• Seong Hyun Kim
• Seoyoung Catherine Kim, MD
• Sharon Heejin Kim

• Prosthodontics in Boston, MA
• Providers in Boston, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.