DR. DONG WON KIM (D.M.D.) – Dentist, NPI 1679694293

DR. DONG WON KIM (D.M.D.) is a healthcare provider. based in Medford, Massachusetts. specializing in Dentist. They hold the professional credentials D.M.D.. They hold a License No. 21536 (MA). The NPI Number for DR. DONG WON KIM (D.M.D.) is 1679694293

Main info

Male
Sole Proprietor
Name
DR. DONG WON KIM (D.M.D.)
NPI
1679694293
Phone
(781) 393-4830
Address
3600 MYSTIC VALLEY PKWY
Enumeration Date
2 April 2007
Deactivation Date
7 November 2019
Reactivation Date
19 November 2019
Last Update Date
26 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. DONG WON KIM (D.M.D.)

  • 3600 MYSTIC VALLEY PKWY

    APT # 709

    MEDFORD, MA 021555733

    Phone: (781) 393-4830

    Type: Mailing

  • 133 MARKET ST

    LOWELL, MA 018521808

    Phone: (978) 458-1179

    Fax: (978) 805-1415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Philips Electronics North America Corporation ($16).

Total Amount

$26

General + Research + Ownership

Payments

2

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-21

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-13

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02155)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. DONG WON KIM (D.M.D.)'s NPI?
Yes. DR. DONG WON KIM (D.M.D.) is listed with NPI 1679694293 in the public NPI dataset.
Is DR. DONG WON KIM (D.M.D.) listed as active for patients and plans?
The listing shows DR. DONG WON KIM (D.M.D.) as active in the NPI system.
What is DR. DONG WON KIM (D.M.D.)'s specialty?
The listing groups DR. DONG WON KIM (D.M.D.) with Dentist. Clinical services aligned with this taxonomy classification.
Does DR. DONG WON KIM (D.M.D.) list a practice location?
Patients near Medford, Massachusetts may find DR. DONG WON KIM (D.M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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