Active NPI
Jihang Kim
- General Practice Dentistry
- Worcester, MA
National Provider Identifier
1902586266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN10001452
- Practice address
- 51 Hamilton St
Worcester, MA 01604-2203 - Phone
- (774) 375-0090
- NPI assigned
- Jul 21, 2023
- Reactivated
- Aug 12, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN10001452 | MA | Primary |
Addresses
Primary practice location
51 Hamilton St
Worcester, MA 01604-2203
Mailing address
125 Guest St Apt 603
Boston, MA 02135-2084
Phone (917) 224-5373
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1902586266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GUEST ST APT 603",
"city": "BOSTON",
"state": "MA",
"postal_code": "021352084",
"telephone_number": "917-224-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 HAMILTON ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016042203",
"telephone_number": "774-375-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JIHANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"deactivation_date": "2024-02-28",
"reactivation_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN10001452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.