Dr. Dongwon Kim PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. DONGWON KIM PC

Practice address

80 Main St
Taunton, MA 02780-2736

Phone

(508) 821-9041

NPI assigned

Apr 1, 2009

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dong Won Kim

Title

President

Phone

(508) 821-9041

Specialties & licenses 1

Addresses

Tax ID family

Dr Dongwon Kim PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Dongwon Kim PC

  • Dental Clinic/Center
  • Mattapan, MA
  • NPI 1740955723
  NPD tax ID

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1750523064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAIN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802736",
            "telephone_number": "508-821-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802736",
            "telephone_number": "508-821-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 River St",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021263014",
            "country_code": "US",
            "telephone_number": "617-322-9773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "542 River St",
            "address_purpose": "LOCATION",
            "city": "Mattapan",
            "state": "MA",
            "postal_code": "021263014",
            "country_code": "US",
            "telephone_number": "617-322-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. DONGWON KIM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-821-9041",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dotave Community Service Center, Inc.
• Melissa A Doughtie, RDN, LDN
• Jolanda Douyon, LPN
• Jennifer L Dowd, COTA/L
• Mia Downes, M.S.
• Yevgeniy F Drakhlin, M.D.
• Kathryn Louise Drapeau, RN
• Ashley Marie Dufault
• Michelle Marie Duggan, CPNP
• Allison Nicole Dukes

• General Practice Dentistry in Taunton, MA
• Providers in Taunton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.