Peter M Kim DMD, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PETER M KIM DMD, INC.

Doing business as

All Smiles Dental

Practice address

2415 G St
Bakersfield, CA 93301-2809

Phone

(661) 631-1113

NPI assigned

Apr 24, 2019

Last updated

Oct 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Min Kim, DMDNPI 1972725844

Title

President

Phone

(323) 360-2771

Specialties & licenses 1

Addresses

Other names 1

• ALL SMILES DENTAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter M Kim, DMD

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1972725844
  NPD Authorized official

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602374400000",
    "number": "1447814454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012809",
            "telephone_number": "661-631-1113",
            "fax_number": "661-631-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012809",
            "telephone_number": "661-631-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M KIM DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-360-2771",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL SMILES DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALL SMILES DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.