DR. PETER EUSUK KIM (NPI# 1821475369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821475369 |
| Entity Type | Individual |
| Full Name | DR. PETER EUSUK KIM |
| Credential | DMD |
| Practice Address |
4649 Loma Del Sur Dr Apt 3307 El Paso TX 79934-3350 |
| Mailing Address |
5340 El Paso Dr Suite K El Paso TX 79905-2837 |
| Practice Telephone | 2165262174 |
| Mailing Telephone | 9157817725 |
| Mailing Fax Number | 9157793387 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30827 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295298891 | Peter Y Kim | Specialist | 1380 Howard St # 201c, San Francisco, CA 94103-2638 | 2019-04-10 |
| 1922518208 | Peter Kim | Dentist | 15737 E Prentice Dr, Centennial, CO 80015-4264 | 2017-10-02 |
| 1336593391 | Peter Eugene Kim | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Radiology, Albany, NY 12208 | 2016-04-15 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1184915761 | Peter Hwa Kim | Acupuncturist | 801 N Tustin Ave Ste 501, Santa Ana, CA 92705-3609 | 2011-04-29 |
| 1821257528 | Peter Simon Kim | Podiatrist | 5220 Pacific Concourse Dr, Ste 120, Los Angeles, CA 90045-6244 | 2008-06-06 |
| 1164603965 | Peter Yeon-seong Kim | Internal Medicine | 1400 Pressler, Suite Fct 11.5012, Md Anderson Cancer - Pickens Academic Tower, Houston, TX 77030 | 2007-11-20 |
| 1972725844 | Peter M Kim | Dentist | 2415 G St, Bakersfield, CA 93301-2809 | 2007-05-02 |
| 1053454983 | Peter Sang Kim | Acupuncturist | 929 N Western Ave, Los Angeles, CA 90029-3215 | 2007-02-14 |
| 1114002953 | Peter Kim | Dentist | 1109 West Park Ave, Libertyville, IL 60048 | 2006-10-26 |
| Street Address |
4649 LOMA DEL SUR DR APT 3307 |
| City | EL PASO |
| State | TX |
| Zip Code | 79934-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1114409950 | Ricardo Macias | Physical Therapist | 11385 Cattle Ranch St., El Paso, TX 79934 | 2018-08-29 |
| 1124557582 | Maria Cristina Tollens | Registered Nurse | 11149 Loma Escondida Dr, El Paso, TX 79934 | 2017-06-08 |
| 1275915407 | Karla Durig | Day Training/Habilitation Specialist | 11609 Ochre Bluff Ln, El Paso, TX 79934 | 2015-06-24 |
| 1285919241 | Perri D Walter | Counselor | 4353 Loma De Brisas, El Paso, TX 79934 | 2011-10-20 |
| 1912203506 | Pm Management - El Paso I Nc LLC | Skilled Nursing Facility | 11169 Sean Haggerty, El Paso, TX 79934 | 2011-01-31 |
| 1487856761 | Louis E Zuniga | Physical Therapist | 4758 Loma Del Sur, Suite A, El Paso, TX 79934 | 2007-05-31 |
| 1861994808 | Hcn Ep Horizon City, LLC | General Acute Care Hospital | 11274 Mccombs St, El Paso, TX 79934 | 2018-03-06 |
| 1023083789 | Aaron R Elliott | Registered Nurse | William Beaumont Army Medical Center, 5005 North Piedras St., El Paso, TX 79934 | 2006-02-17 |
| Find all providers in zip 79934 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383206 | Flores Sapien Dentistry Pllc | Dentist | 8889 Gateway Blvd W Ste 1100, El Paso, TX 79925-6542 | 2020-10-16 |
| 1033729199 | Christian Diego Lepure | Dentist | 7598 N Mesa St Ste A, El Paso, TX 79912-3518 | 2020-08-04 |
| 1609494111 | Pallavi Sharma | Dentist | 201 S Americas Ave Ste 206, El Paso, TX 79907-6915 | 2020-07-10 |
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1356969315 | Julia Kathleen Escobar | Dentist | 5001 N Mesa St Apt 1304, El Paso, TX 79912-5930 | 2020-07-07 |
| 1093330789 | Access Dental of El Paso Pllc | Dentist | 8825 N Loop Dr Ste 126, El Paso, TX 79907-4606 | 2020-06-09 |
| 1912550559 | John Andrew Loiselle | Dentist | 600 Sunland Park Dr Ste 600, El Paso, TX 79912-5115 | 2019-07-23 |
| 1164083309 | Erica Lepure | Dentist | 1280 Hawkins Blvd Ste 100, El Paso, TX 79925-4949 | 2019-06-27 |
| 1710542196 | Amanda Christine Griego | Dentist | 1050 Sunland Park Dr # B200, El Paso, TX 79922-1326 | 2019-05-01 |
| 1508328451 | North Mesa Family Dental, Pllc | Dentist | 6135 N Mesa St Ste C, El Paso, TX 79912-4515 | 2019-04-01 |
| Find all providers in EL PASO | ||||
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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.