Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275022485 Individual Practitioner Female Practitioner

Bowon Kim

Dentist - General Practice • Cambridge, MA

Professional Overview & Biography Verified Profile Summary

Bowon Kim is a registered healthcare professional specializing in Dentist - General Practice in Cambridge, MA. Practice services are available at 126 INMAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

126 Inman St

Cambridge, MA 021391206

Telephone 6174928210
Associated Practice Facility / Clinic
🏢 Jieun Cha Pc Facility NPI 1801476403

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cambridge, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
66 Specialists

Practicing in Cambridge, 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: 2021-02-25
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1858585

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1366504672

Doctor of Dental Medicine

NPI 1386710812

Doctor of Dental Medicine

NPI 1447327408

Doctor of Dental Medicine

Dr. Jinjoo Lee , DMD

Dentist - General Practice

NPI 1659729366

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 25, 2021

Registered at 126 INMAN ST, CAMBRIDGE, MA 021391206 (Tel: 6174928210)

📍
Updated Business Mailing Address February 25, 2021

Registered at 2 LEIGHTON ST APT 340, CAMBRIDGE, MA 021413007 (Tel: 3472449498)

NPI Profile Active May 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2018

Registered at 1824 MADISON AVE, NEW YORK, NY 100353832 (Tel: 2124234500)

📍
Updated Business Mailing Address May 02, 2018

Registered at 480 2ND AVE APT 21C, NEW YORK, NY 100169125 (Tel: 3472449498)

👤
Provider Name / Credentials Updated May 02, 2018

Recorded as BOWON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 02, 2018

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: 1275022485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2018
Last Update: February 25, 2021
Sole Proprietor: Yes

Mailing Address

2 Leighton St Apt 340

Cambridge, MA 021413007

Phone: 3472449498

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.