PETER GEUNTAE KIM DDS
NPI 1811916877
Dentist - General Practice in Bayside, NY

Q: What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1811916877. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Geuntae Kim Dds.

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 July 19, 2006

4719 BELL BLVD, BAYSIDE, NY 11361(718) 224-5576(718) 224-5587 Get Directions Write a Review

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

On this page

About Peter Geuntae Kim Dds NPPES

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

PETER GEUNTAE KIM DDS (NPI 1811916877) is an individual general practice provider in Bayside, New York, licensed in New York (047152) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1811916877

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NamePETER GEUNTAE KIMCredential: DDS

Location Address4719 BELL BLVDBayside, NY 11361-3333

Mailing Address17 Kathleen DrSyosset, NY 11791-5808 · (516) 993-9691 · Fax (718) 224-5587

Phone(718) 224-5576

Fax(718) 224-5587

Sole ProprietorYes

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811916877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 047152

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.

4719 BELL BLVD, Bayside, NY 11361

Open in Google Maps ↗

Other Names 1

Former Name (1)Geuntae Kim Dds

Other Identifiers 1

Medicaid02512985NY

Accepted Insurance

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

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 1811916877. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Geuntae Kim Dds.

Where is Peter Kim located?

Peter Kim practices at 4719 Bell Blvd, Bayside, NY 11361. The listed phone number is (718) 224-5576.

What is Peter Kim's specialty?

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

What insurance does Peter Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 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 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.