Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013713577 Individual Practitioner Female Practitioner

Ji Won Kim

Dentist • Methuen, MA

Professional Overview & Biography Verified Profile Summary

Ji Won Kim is a registered healthcare professional specializing in Dentist in Methuen, MA. Practice services are available at 100 MILK ST STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Milk St Ste 120

Methuen, MA 018444600

Telephone 9786884441
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Methuen, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Methuen, MA (3030 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: 2026-06-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN10001446

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Thinh Do Duy , DMD

Dentist - General Practice

NPI 1558333088

Doctor of Dental Medicine

Dr. Edward Hassey , DMD

Dentist - General Practice

NPI 1851364236

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 30, 2026

Registered at 100 MILK ST STE 120, METHUEN, MA 018444600 (Tel: 9786884441)

📍
Updated Business Mailing Address June 30, 2026

Registered at 100 MILK ST STE 120, METHUEN, MA 018444600 (Tel: 9786884441)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Dentist (License #DN10001446 in MA)

NPI Profile Active February 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2025

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

📍
Updated Business Mailing Address February 24, 2025

Registered at 635 ALBANY ST, BOSTON, MA 021183550 (Tel: 6173588300)

👤
Provider Name / Credentials Updated February 24, 2025

Recorded as JI WON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ji Won Kim. Be the first to share your experience!

Sign in to leave a review for Ji Won Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013713577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2025
Last Update: June 30, 2026
Sole Proprietor: No

Mailing Address

100 Milk St Ste 120

Methuen, MA 018444600

Phone: 9786884441

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.