Grace Kimeunhye Kwon · Grace Misun Kim · Orthodontics and Dentofacial Orthopedic Dentist

388 Park Ave, Worcester, MA 01610-1025

Overview

Grace Kimeunhye Kwon is a Orthodontics and Dentofacial Orthopedic Dentist practicing in Worcester, Massachusetts. The National Provider Identifier (NPI) is #1316509367, which was assigned on June 30, 2019, and the registration record was last updated on April 8, 2026. The practitioner's main practice location is at 388 Park Ave, Worcester, MA 01610-1025; the contact telephone number is 5087986565. The primary taxonomy of Grace Kimeunhye Kwon is Orthodontics and Dentofacial Orthopedic Dentist (1223X0400X), with specialization in Orthodontics and Dentofacial Orthopedics. Grace Kimeunhye Kwon is licensed to practice in the state of Massachusetts (#DN1858542), Massachusetts (#DN1858542).

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Provider Information

NPI 1316509367
Entity Type Individual
Provider Name GRACE KIMEUNHYE KWON
Other Name GRACE MISUN KIM
(Former Name)
Gender Female
Credential DMD
Practice Address 388 Park Ave
Worcester
MA 01610-1025
Practice Telephone 5087986565
Mailing Address 3 Cold Spring Dr
Grafton
MA 01519-1027
Mailing Telephone 4044883283
Certification Date 2026-04-08
Enumeration Date 2019-06-30
Last Update Date 2026-04-08
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N122300000XDentistDN1858542MA
Y1223X0400XDentistOrthodontics and Dentofacial OrthopedicsDN1858542MA

Taxonomy Information

Primary Taxonomy

Code 1223X0400X
Taxonomy Orthodontics and Dentofacial Orthopedic Dentist
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics
Grouping Dental Providers
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Other Taxonomy

Code 122300000X
Taxonomy Dentist
Classification Dentist
Grouping Dental Providers
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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Lauren Gerkowicz Orthodontics 7000 Charleston Shores Blvd, Greenacres, FL 33467-7628Orthodontics and Dentofacial Orthopedic Dentist2026-04-22
Mohamad Ezzat Abou El Nasr 8200 Roberts Dr Ste 100, Sandy Springs, GA 30350-4150Orthodontics and Dentofacial Orthopedic Dentist2026-04-30
Robert S Haeger Dds, Ms, Ps 22443 Se 240th St Ste 100, Maple Valley, WA 98038-5846Orthodontics and Dentofacial Orthopedic Dentist2026-04-23
Justin Mack 650 W Baltimore St Rm 3218, Baltimore, MD 21201-1510Orthodontics and Dentofacial Orthopedic Dentist2026-04-29
Gil Orthodontics PLLC 2001 W Highway 290 Ste 107, Dripping Springs, TX 78620-4590Orthodontics and Dentofacial Orthopedic Dentist2026-04-22
J. Perry Ormiston, D.D.S., M.S.D., P.S. 927 40th Ave Sw Ste A, Puyallup, WA 98373-3727Orthodontics and Dentofacial Orthopedic Dentist2026-04-24
Karan S Patel Dmd Pa 7263 Avalon Rd Ste 121, Winter Garden, FL 34787-5890Orthodontics and Dentofacial Orthopedic Dentist2026-04-27
Albert Ngo, Dds, Ms, Inc. 18510 Gridley Rd, Artesia, CA 90701-5406Orthodontics and Dentofacial Orthopedic Dentist2026-04-27
Alan D. Shoopak, D.M.D., P.A. 1701 66th St N, Saint Petersburg, FL 33710-5537Orthodontics and Dentofacial Orthopedic Dentist2026-04-27
Rachel Isabel Teitelbaum 1108 E Ogden Ave, Naperville, IL 60563-8560Orthodontics and Dentofacial Orthopedic Dentist2026-04-27
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Location Information

Street Address 388 PARK AVE
City WORCESTER
State MA
Zip Code 01610-1025
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
New England Family Dentistry 388 Park Ave, Worcester, MA 01610-1025Point of Service2014-09-11
Mindy Vu Nguyen 388 Park Ave, Worcester, MA 01610-1025Dentist2018-05-26
Jasun Mahaffey 388 Park Ave, Worcester, MA 01610-1025Orthodontics and Dentofacial Orthopedic Dentist2009-10-21
Oral Surgery Partners PC 388 Park Ave, Worcester, MA 01610-1025Oral and Maxillofacial Surgery (Dentist)2017-01-06
Worcester Smiles Youth Dentistry, LLC 388 Park Ave, Worcester, MA 01610-1025Orthodontics and Dentofacial Orthopedic Dentist2011-03-28

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Michael Kazzaz 400 Park Ave, Worcester, MA 01610-1025Pharmacist2016-06-29
Makaylla Vezina 400 Park Ave, Worcester, MA 01610-1025Pharmacist2022-09-13
Thomas Peter Shilale 400 Park Ave, Worcester, MA 01610-1025Pharmacist2022-10-18
Valerie A Poudrier 400 Park Ave, Worcester, MA 01610-1025Pharmacist2020-11-30
Michael Valenti 400 Park Ave, Worcester, MA 01610-1025Pharmacist2020-11-23
Cvs Pharmacy Inc 400 Park Ave, Worcester, MA 01610-1025Community/Retail Pharmacy2006-09-22
Meredith Weagle 400 Park Ave, Worcester, MA 01610-1025Pharmacist2020-11-28

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Athena Christine Erickson Jonas Clark Hall, 3rd Floor, 950 Main Street, Worcester, MA 01610Student in an Organized Health Care Education/Training Program2022-08-12
Renaissance Adult Day Care, LLC 1040 Southbridge Street, Worcester, MA 01610Adult Day Care Clinic/Center2011-04-18
Lea Whidbey Silvert 950 Main Street, Department of Psychology, Worcester, MA 01610Student in an Organized Health Care Education/Training Program2022-07-25
City of Worcester 25 Meade Street, Worcester, MA 01610Public Health or Welfare Agency2006-11-01
Marcia D Codling 664 Main Street, Compare Quality Pharmacy, Worceater, MA 01610Pharmacist2011-10-12
Terri Boettcher 72 Jacques Street, Worcester, MA 01610Clinical Social Worker2014-10-01
The Golub Corporation 50 Cambridge St, Worcester, MA 01610Pharmacy2006-08-17
Rahman Ullah Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610Dentist2008-05-07
Suzanne Marie Stead 237 Millburry St, Pernet Family Health Service, Worcester, MA 01610Specialist2007-01-12
Walter Trisdale One College St., College of The Holy Cross, Worcester, MA 01610Athletic Trainer2016-05-02
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.