PETER KIM DDS, NPI 1215207733
Dentist in MODESTO, CA
Last Updated on : Jan 02,2012
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?
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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:
|
| 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:
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