OrganizationActive
Kirk J Petersen DMD Professional Corp.
NPI 1750722930 · Customized Equipment (DME) · Hemet, CA
Kirk J Petersen DMD Professional Corp. is a Customized Equipment (DME) organization in Hemet, CA (NPI 1750722930).
Provider details
- NPI number
- 1750722930
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Kirk Petersen, President(951) 652-4464
- License
- 35534 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3232 W Florida Ave
Hemet, CA 92545-3622
Phone: (951) 652-4464
Fax: (951) 929-7090
Street-level locationGet directions
Mailing address
3232 W Florida Ave
Hemet, CA 92545-3622
Other names (DBA / former)
- Doing business as
- Hemet West Dental Office
Registry dates
- Enumerated
- 2013-07-16
- Last updated
- 2013-07-16
Frequently asked questions
- What is Kirk J Petersen DMD Professional Corp.'s NPI number?
- Kirk J Petersen DMD Professional Corp.'s National Provider Identifier (NPI) is 1750722930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kirk J Petersen DMD Professional Corp.?
- Kirk J Petersen DMD Professional Corp. is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Kirk J Petersen DMD Professional Corp. located?
- Kirk J Petersen DMD Professional Corp.'s practice location on file with NPPES is 3232 W Florida Ave, Hemet, CA 92545-3622.
- What is Kirk J Petersen DMD Professional Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Kirk J Petersen DMD Professional Corp. is (951) 652-4464.
- Who is the authorized official for Kirk J Petersen DMD Professional Corp.?
- The authorized official listed on Kirk J Petersen DMD Professional Corp.'s NPPES record is Kirk Petersen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kirk J Petersen DMD Professional Corp.'s NPI active?
- Yes — Kirk J Petersen DMD Professional Corp.'s NPI (1750722930) is active in the NPPES registry as of the last update on 2013-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.