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Peter Kim, DDS
NPI 1215207733 · Dentist · Modesto, CA
Peter Kim, DDS is a Dentist provider in Modesto, CA (NPI 1215207733).
Provider details
- NPI number
- 1215207733
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 56244 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3608 Dale Rd
Modesto, CA 95356-0500
Phone: (209) 577-0777
Street-level locationGet directions
Mailing address
2033 Cheyenne Way
Modesto, CA 95356-0761
Registry dates
- Enumerated
- 2012-01-02
- Last updated
- 2012-01-02
Frequently asked questions
- What is Peter Kim's NPI number?
- Peter Kim's National Provider Identifier (NPI) is 1215207733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Kim's specialty?
- Peter Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Peter Kim located?
- Peter Kim's practice location on file with NPPES is 3608 Dale Rd, Modesto, CA 95356-0500.
- What is Peter Kim's phone number?
- The practice phone number listed in the NPPES registry for Peter Kim is (209) 577-0777.
- Is Peter Kim's NPI active?
- Yes — Peter Kim's NPI (1215207733) is active in the NPPES registry as of the last update on 2012-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.