Peter J Kim DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER J KIM DDS PLLC

Practice address

2315 Virginia Pkwy
McKinney, TX 75071-3505

Phone

(972) 562-0767

NPI assigned

Sep 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter J Kim, DDSNPI 1417353400

Title

General Dentist

Phone

(631) 355-4180

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter J. Kim, DDS

  • General Practice Dentistry
  • New Square, NY
  • NPI 1417353400
  NPD Authorized official
• Amy Ploy Case, D.D.S.

  • General Practice Dentistry
  • McKinney, TX
  • NPI 1962842047
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1366220477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 VIRGINIA PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713505",
            "telephone_number": "972-562-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 VIRGINIA PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713505",
            "telephone_number": "972-562-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J KIM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "631-355-4180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Perry
• Svetlana P Perry, DDS
• Cheryl L Person, MD
• Alyson Neeley Pertuis, LPC
• Barbara Perumal, FNP
• Morohunfolu Krystal Peters
• Emily Petersen
• Petersmht
• Essence Peterson
• Holly Peterson, APRN, FNP-C

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.