Peter Kim, DDS
NPI 1417554411 · Dentist · San Jacinto, CA
Peter Kim, DDS is a Dentist provider in San Jacinto, CA (NPI 1417554411).
Provider details
- NPI number
- 1417554411
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 105646 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ibuprofen | 28 | 24 |
| Amoxicillin | 26 | 24 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-10-03
- Last updated
- 2020-10-03
- Certified
- 2020-10-03
Frequently asked questions
- What is Peter Kim's NPI number?
- Peter Kim's National Provider Identifier (NPI) is 1417554411, 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 1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA 92583-5181.
- What is Peter Kim's phone number?
- The practice phone number listed in the NPPES registry for Peter Kim is (951) 654-7744.
- Is Peter Kim's NPI active?
- Yes — Peter Kim's NPI (1417554411) is active in the NPPES registry as of the last update on 2020-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.