Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619737178 Individual Practitioner Female Practitioner

Mi Ran Kim

Dentist - General Practice • Boston, MA

Professional Overview & Biography Verified Profile Summary

Mi Ran Kim is a registered healthcare professional specializing in Dentist - General Practice in Boston, MA. Practice services are available at 1 KNEELAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Kneeland St

Boston, MA 021111527

Telephone 7039875086
Associated Practice Facility / Clinic
🏢 Trustees Of Tufts College Facility NPI 1801938014

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Boston, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 19047

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003014614

Doctor of Dental Surgery

Eirrion Timmons

Student in an Organized Health Care Education/Training Program

NPI 1003631276
Michelle Valdes

Student in an Organized Health Care Education/Training Program

NPI 1003661190
Norah Alajaji

Dental Assistant

NPI 1013332139
Dr. Anuja Panda , DMD

Dentist - General Practice

NPI 1013401827

Doctor of Dental Medicine

Grace Wang

Student in an Organized Health Care Education/Training Program

NPI 1013702323

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address November 18, 2025

Registered at 1607 PINDER ST APT 235, FREDERICK, MD 217011523

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2025

Dentist (License #19047 in MD)

NPI Profile Active March 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 7039875086)

📍
Updated Business Mailing Address March 21, 2024

Registered at 9 KNAPP ST APT 404, BOSTON, MA 021111624

👤
Provider Name / Credentials Updated March 21, 2024

Recorded as MI RAN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619737178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2024
Last Update: November 18, 2025
Sole Proprietor: No

Mailing Address

1607 Pinder St Apt 235

Frederick, MD 217011523

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.