PETER M KIM DMD, INC. (NPI# 1447814454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447814454 |
Entity Type | Organization |
Organization Name | PETER M KIM DMD, INC. |
Other Organization Name | ALL SMILES DENTAL |
Practice Address |
2415 G St Bakersfield CA 93301-2809 |
Practice Telephone | 6616311113 |
Mailing Telephone | 6616311113 |
Mailing Fax Number | 6616311116 |
Enumeration Date | 2019-04-24 |
Last Update Date | 2020-10-11 |
Authorized Official Name | PETER MIN KIM (PRESIDENT) |
Authorized Official Telephone | 3233602771 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ALL SMILES DENTAL | Doing Business As Name - Organization |
Street Address |
2415 G ST |
City | BAKERSFIELD |
State | CA |
Zip Code | 93301-2809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972725844 | Peter M Kim | Dentist | 2415 G St, Bakersfield, CA 93301-2809 | 2007-05-02 |
1669689287 | Cox Dental Corporation | Dentist | 2415 G St, Bakersfield, CA 93301-2809 | 2007-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
Find all providers in zip 93301 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720559339 | Sayeh Massoumi,dental Corporation | Clinic/Center | 1010 Calloway Dr Ste 200b, Bakersfield, CA 93312-6391 | 2018-12-07 |
1467945212 | Ivan Medina-martinez, Dds | Clinic/Center | 3403 Wilson Rd, Bakersfield, CA 93309-5208 | 2018-06-07 |
1568776284 | Queiroz Dental Inc | Clinic/Center | 207 H St, Bakersfield, CA 93304-2911 | 2010-08-05 |
1104065416 | Edward H. Gruber, Dds | Clinic/Center | 3612 Coffee Rd, A, Bakersfield, CA 93308-5083 | 2009-02-10 |
1275772634 | Hacienda Dental | Clinic/Center | 1507 Panama Lane, 102, Bakersfield, CA 93307 | 2009-02-09 |
1124282397 | Premier Family Dentistry | Clinic/Center | 2520 H St Ste B, Bakersfield, CA 93301-2800 | 2008-07-16 |
1811155609 | Mill Rock Oral Surgery Dental Group | Clinic/Center | 1601 Mill Rock Way # A, Bakersfield, CA 93311-1315 | 2008-05-28 |
1265622591 | Le Nguyen Dds, Inc | Clinic/Center | 2217 Niles Pt, Bakersfield, CA 93306-4023 | 2007-08-01 |
1831399351 | Edward H. Gruber D.d.s. | Clinic/Center | 1491 White Ln, Bakersfield, CA 93307-4677 | 2007-07-23 |
1730786526 | Kathleen Rolfes Dmd, Inc. | Clinic/Center | 500 Old River Rd Ste 155, Bakersfield, CA 93311-9509 | 2020-10-05 |
Find all providers in BAKERSFIELD |
City | BAKERSFIELD |
Zip Code | 93301 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.