DR. PETER KIM DDS
NPI 1114002953
Dentist - General Practice in Libertyville, IL

Q: What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1114002953. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 26, 2006

1109 WEST PARK AVE, LIBERTYVILLE, IL 60048(847) 367-1133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Peter Kim Dds NPPES

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

DR. PETER KIM DDS (NPI 1114002953) is an individual general practice provider in Libertyville, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114002953

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PETER KIMCredential: DDS

Location Address1109 WEST PARK AVELibertyville, IL 60048

Mailing Address1109 West Park AveLibertyville, IL 60048 · (847) 367-1133

Phone(847) 367-1133

Sole ProprietorYes

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114002953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1109 WEST PARK AVE, Libertyville, IL 60048

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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 Peter Kim's NPI number?

The NPI number for Peter Kim is 1114002953. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Peter Kim located?

Peter Kim practices at 1109 West Park Ave, Libertyville, IL 60048. The listed phone number is (847) 367-1133.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.