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JAEWON KIM
NPI 1952289555
Dentist - Periodontics in Boston, MA

Active since August 22, 2025
1 KNEELAND ST, BOSTON, MA 02111(617) 636-6531 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaewon Kim NPPES

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

JAEWON KIM (NPI 1952289555) is an individual periodontics provider in Boston, Massachusetts, licensed in Massachusetts (DL101121) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1952289555
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJAEWON KIM
Location Address1 KNEELAND STBoston, MA 02111-1527
Mailing Address44 2nd StCambridge, MA 02141-1735 · (617) 571-2588
Phone(617) 636-6531
Sole ProprietorNo
Enumeration DateAugust 22, 2025
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1952289555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · DL101121
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1 KNEELAND ST, Boston, MA 02111
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Other Providers at the Same Location NPPES 20

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

DR. ROCIO SAAVEDRA DDS
Dentist
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6971
EIRRION DOMINIQUE TIMMONS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
MICHELLE IRENE VALDES
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
NORAH ALAJAJI
Dental Assistant
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6591
DR. ANUJA CHUMBLE PANDA DMD
Dentist (General Practice)
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-2163
GRACE WANG
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
YEHAN KIM
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828
GRACE DAVIS
Student in an Organized Health Care Education/Training Program
1 KNEELAND ST
BOSTON, MA 02111
Suffolk County (617) 636-6828

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 Jaewon Kim's NPI number?

The NPI number for Jaewon Kim is 1952289555. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Jaewon Kim located?

Jaewon Kim practices at 1 Kneeland St, Boston, MA 02111. The listed phone number is (617) 636-6531.

What is Jaewon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jaewon Kim was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.