Active NPI
Hugh Kim
- Periodontics
- Boston, MA
National Provider Identifier
1417270653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN1855327
- Practice address
- 1330 Boylston St
Apt. # 1019
Boston, MA 02215-4229 - Phone
- (857) 233-4486
- NPI assigned
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN1855327 | MA | Primary |
Addresses
Primary practice location
1330 Boylston St
Apt. # 1019
Boston, MA 02215-4229
Mailing address
1330 Boylston St
Apt. # 1019
Boston, MA 02215-4229
Phone (857) 233-4486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1855327 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1417270653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOYLSTON ST",
"address_2": "APT. # 1019",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154229",
"telephone_number": "857-233-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOYLSTON ST",
"address_2": "APT. # 1019",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154229",
"telephone_number": "857-233-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HUGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-02",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DN1855327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.