David S Kim, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN1855408 Issued in MA

Practice address

64 Columbus St
Newton Highlands, MA 02461-1439

Phone

(646) 342-3951

NPI assigned

Jun 9, 2010

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

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.

Opted out of Medicare

Yes, effective Nov 6, 2017 through Nov 6, 2027

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.

• Brookline Dental Esthetics, PLLC

  • Prosthodontics
  • Brookline, MA
  • NPI 1679310858
  NPD Authorized official
• David S. Kim, DMD, PLLC

  • Prosthodontics
  • Newton, MA
  • NPI 1245797851
  NPD Authorized official

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1548580871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 COLUMBUS ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611439",
            "telephone_number": "646-342-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COLUMBUS ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611439",
            "telephone_number": "646-342-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1682 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024452120",
            "country_code": "US",
            "telephone_number": "646-342-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855408",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1855408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Kay Jacobson, LICSW
• Jeffrey a Mann
• Deborah S Kadish, M.D.
• Michelle Kennedy
• Diana S. Kierein, LICSW
• Grace Y Kim, DMD
• Sonya R Kurzweil, PH.D.
• Michelle Anh Tram Le, RPH
• Jane H. Leavy, MSW
• Lynne M Lieberman Licsw

• Prosthodontics in Newton Highlands, MA
• Providers in Newton Highlands, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.