Active NPI
Sanglim Lee Peters, DMD
- Dentist
- Bakersfield, CA
National Provider Identifier
1609930585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53182
- Practice address
- 100 W Columbus St
#200
Bakersfield, CA 93301-1200 - Phone
- (661) 325-9466
- Fax
- (661) 325-0706
- NPI assigned
- Dec 21, 2006
- Last updated
- Nov 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53182 | CA | Primary |
Addresses
Primary practice location
100 W Columbus St
#200
Bakersfield, CA 93301-1200
Mailing address
6420 San Rogue CT
Bakersfield, CA 93312-5912
Phone (661) 302-8121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53182 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Songsu Kim | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1609930585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 SAN ROGUE CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933125912",
"telephone_number": "661-302-8121",
"fax_number": "661-302-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W COLUMBUS ST",
"address_2": "#200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933011200",
"telephone_number": "661-325-9466",
"fax_number": "661-325-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "SANGLIM",
"middle_name": "LEE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.