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PETER KIM DDS, NPI 1215207733

Dentist in MODESTO, CA

Last Updated on : Jan 02,2012

PETER  KIM DDS, NPI 1215207733

About PETER KIM (NPI 1215207733)


PETER KIM is a Dentist provider in MODESTO, United States. His medical specialization is Dentist .

1215207733 is NPI number of PETER KIM.

PETER KIM's primary taxonomy code based on NPI Lookup is 122300000X with license number 56244. This taxonomy code refers to Dentist.

PETER KIM has more than 10 years of experience.

PETER KIM current practice location address is 2033 CHEYENNE WAY, MODESTO, CA.

You can also correspond with PETER KIM through mail at mailing address 3608 DALE RD, MODESTO, CA, United States. Mailing address contact number is 209-577-0777.

The enumeration date of PETER KIM is 02-Jan-2012. The provider is registered as an Individual and the NPI record was last updated 11 years ago.

1215207733 NPI Information

Basic NPI information of PETER KIM (NPI 1215207733) is provided below.

Name PETER KIM
National Provider Id (NPI) 1215207733
Entity Type Individual
Gender M
Credential DDS
Practice Address 2033 CHEYENNE WAY,
MODESTO, CA, United States
Practice Telephone
Practice Fax Number
Mailing Address 3608 DALE RD ,
MODESTO, CA, United States
Mailing Telephone 209-577-0777
Mailing Fax Number
Enumeration Date 02-Jan-2012
Last Updated Date 02-Jan-2012

PETER KIM (NPI 1215207733) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 122300000X Dentist 56244 CA

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.

PETER KIM (NPI 1215207733) Office Location

Office location of PETER KIM is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1619398062 ORTHOPEDIC PHYSICAL THERAPY INSTITUTE, INC. Clinic/Center, Physical Therapy 4028 DALE RD, SUITE 101
MODESTO, CA, United States
01-Jan-2014
1154867513 NATASHA HERMIS Pharmacist, Ambulatory Care 3500 COFFEE ROAD,
MODESTO, CA, United States
10-Jan-2017
1710044888 DAVID DEAN NISLEY Physician Assistant, Surgical 1441 FLORIDA AVE, NEUROSURGERY PA
MODESTO, CA, United States
02-Jan-2007
1275690901 MARIA ELENA MADRIGAL Case Manager/Care Coordinator 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1083771729 STEPHEN E MCNAMARA Counselor, Professional 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1518024264 ELIZABETH ANN BENNETT Case Manager/Care Coordinator 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1851458509 SHANNON JEAN JENKINS Registered Nurse 2629 EL GOYA DR,
MODESTO, CA, United States
02-Jan-2007
1811054562 RAYMOND G FORNEY Specialist 321 EL RIO AVE,
MODESTO, CA, United States
02-Jan-2007
1447317102 SUZANNE HERRON Marriage & Family Therapist 1812 LAUREL OAK DR,
MODESTO, CA, United States
02-Jan-2007
1417014176 JOHN BLACK Specialist 5336 AVENUE D,
MODESTO, CA, United States
02-Jan-2007
1912064676 DONNA MARIE WAGNER Marriage & Family Therapist PO BOX 4282,
SONORA, CA, United States
02-Jan-2007
1548327216 JAMES RILEY Social Worker, Clinical 2713 EMERALD CT,
ATWATER, CA, United States
02-Jan-2007
1881751550 CHARLOTTE JUNE TACY Occupational Therapist 2929 FLOYD AVE, APT. 216
MODESTO, CA, United States
02-Jan-2007
1205993979 GABRIELLA CORTES Specialist 309 B ST,
WATERFORD, CA, United States
02-Jan-2007
1477610145 LORI NORWOOD Case Manager/Care Coordinator 500 N 9TH ST,
MODESTO, CA, United States
02-Jan-2007
1790842474 LINDA SANDERS Social Worker, Clinical 1328 MERRITT ST,
TURLOCK, CA, United States
02-Jan-2007
1932266517 CALLIE C GRAHAM Specialist 210 DOCKSIDE DR,
WATERFORD, CA, United States
02-Jan-2007
1114084704 MARCOS SANCHEZ Case Manager/Care Coordinator 500 N 9TH ST STE B,
MODESTO, CA, United States
02-Jan-2007
1366509952 YVONNE GARZA Specialist 1700 N TULLY RD, #E202
TURLOCK, CA, United States
02-Jan-2007
1669539292 BRAD EDWARD PEZOLDT Dentist, Orthodontics and Dentofacial Orthopedics 4320 ALSACE LN,
MODESTO, CA, United States
02-Jan-2007

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1215207733?

1215207733 is the NPI number of PETER KIM.

What is the specialty for PETER KIM?

The Specialty of PETER KIM is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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