Peter M. Kam, DDS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

26873 Issued in CA

Legal business name

PETER M. KAM, DDS, INC

Practice address

230 S Garfield Ave
Ste 103
Monterey Park, CA 91754-2900

Phone

(626) 571-0283

Fax

(626) 571-7825

NPI assigned

Apr 28, 2014

Last updated

Apr 28, 2014By 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

Dr. Peter M. Kam, DDSNPI 1184632135

Title

Presient

Phone

(626) 571-0283

Specialties & licenses 1

Addresses

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 Manleung Kam

  • General Practice Dentistry
  • Monterey Park, CA
  • NPI 1184632135
  NPD (past) Authorized official

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1750701983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S GARFIELD AVE",
            "address_2": "STE 103",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542900",
            "telephone_number": "626-571-0283",
            "fax_number": "626-571-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S GARFIELD AVE",
            "address_2": "STE 103",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542900",
            "telephone_number": "626-571-0283",
            "fax_number": "626-571-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. KAM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "KAM",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "626-571-0283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Robert Petrosian, RADT
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• Dentist in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.