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DR. DONG WON KIM D.M.D.
NPI 1679694293
Dentist in Lowell, MA

Active since April 02, 2007PECOS Enrolled
133 MARKET ST, LOWELL, MA 01852(978) 458-1179(978) 805-1415 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Nov 19, 2019 (2 updates tracked since 2019).

About Dr. Dong Won Kim D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONG WON KIM D.M.D. (NPI 1679694293) is an individual dentist in Lowell, Massachusetts, licensed in Massachusetts (21536) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679694293
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DONG WON KIMCredential: D.M.D.
Location Address133 MARKET STLowell, MA 01852-1808
Mailing Address3600 Mystic Valley Pkwy, Apt # 709Medford, MA 02155-5733 · (781) 393-4830
Phone(978) 458-1179
Fax(978) 805-1415
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1679694293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MA · 21536
Definition
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.
133 MARKET ST, Lowell, MA 01852
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Other Identifiers 1

Medicaid0207110MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dong Won Kim D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONALI LAHOTI D.D.S
Dentist (General Practice)
133 MARKET ST
LOWELL, MA 01852
Middlesex County (978) 458-1179
IHAM GAMMAS DMD LLC
Clinic/Center (Dental)
133 MARKET ST
LOWELL, MA 01852
Middlesex County (978) 458-1179
HAROUTIOUN A KOTCHINIAN
Dentist
133 MARKET ST
LOWELL, MA 01852
Middlesex County (978) 328-4661
DR. SEIYA ISHIKURA DMD
Dentist
133 MARKET ST
LOWELL, MA 01852
Middlesex County (978) 458-1179
DR. SAMUEL TIEN-EN HSIEH DMD
Dentist (General Practice)
133 MARKET ST
LOWELL, MA 01852
Middlesex County (978) 458-1179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dong Kim's NPI number?

The NPI number for Dong Kim is 1679694293. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Dong Kim located?

Dong Kim practices at 133 Market St, Lowell, MA 01852. The listed phone number is (978) 458-1179.

What is Dong Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dong Kim enrolled in Medicare?

Yes. Dong Kim is registered in the Medicare PECOS enrollment system.

What insurance does Dong Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Dong Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dong Kim was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.