DR. PETER KEEWAHN KIM DDS
NPI 1417554411
Dentist in San Jacinto, CA

Q: What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1417554411. It was assigned to this individual provider in the NPPES registry on October 3, 2020.

Q: What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 03, 2020

1643 S SAN JACINTO AVE STE 100&101, SAN JACINTO, CA 92583(951) 654-7744 Get Directions Write a Review

NPPES record last updated: October 3, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Peter Keewahn Kim Dds NPPES

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

DR. PETER KEEWAHN KIM DDS (NPI 1417554411) is an individual dentist in San Jacinto, California, licensed in California (105646) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1417554411

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PETER KEEWAHN KIMCredential: DDS

Location Address1643 S SAN JACINTO AVE STE 100&101San Jacinto, CA 92583-5181

Mailing Address1643 S San Jacinto Ave Ste 100&101San Jacinto, CA 92583-5181 · (951) 654-7744

Phone(951) 654-7744

Sole ProprietorYes

Enumeration DateOctober 3, 2020

NPPES CertifiedOctober 3, 2020

✔ NPI 1417554411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 105646

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.

1643 S SAN JACINTO AVE STE 100&101, San Jacinto, CA 92583

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

LEE AND NOSTI DENTAL CORPORATION

Dentist (General Practice)

1643 S SAN JACINTO AVE STE 100&101
SAN JACINTO, CA 92583

Riverside County (951) 654-7744

DR. ERIKA L BELLE DDS

Dentist (General Practice)

1643 S SAN JACINTO AVE STE 100&101
SAN JACINTO, CA 92583

Riverside County (909) 380-7701

DR. ALBERT MACIAS JR. DDS

Dentist (General Practice)

1643 S SAN JACINTO AVE STE 100&101
SAN JACINTO, CA 92583

Riverside County (951) 654-7744

ISMAEL SIKANDER NAWAZ DDS

Dentist

1643 S SAN JACINTO AVE STE 100&101
SAN JACINTO, CA 92583

Riverside County (951) 654-7744

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 1417554411. It was assigned to this individual provider in the NPPES registry on October 3, 2020.

Where is Peter Kim located?

Peter Kim practices at 1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA 92583. The listed phone number is (951) 654-7744.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Peter Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Peter Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.