Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972725844 Individual Practitioner Male Practitioner

Dr. Peter M Kim , DMD

Dentist - General Practice • Bakersfield, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bakersfield, CA. Practice services are available at 2415 G ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2415 G St

Bakersfield, CA 933012809

Telephone 6616311113
Associated Practice Facility / Clinic
🏢 Cox Dental Corporation Facility NPI 1669689287

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bakersfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
189 Specialists

Practicing in Bakersfield, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 56021

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License NM DD2835

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License AZ D6719

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
73203050 (NM)
Medicaid State Provider ID
985525 (AZ)
Commercial Insurance / Payer ID Bcbsaz
AZ0158860 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1992830665

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address October 11, 2020

Registered at 2415 G ST, BAKERSFIELD, CA 933012809 (Tel: 6616311113)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2020

Dentist (License #DD2835 in NM)

📍
Updated Practice Location April 24, 2019

Registered at 2415 G ST, BAKERSFIELD, CA 933012809 (Tel: 6616311113)

📍
Updated Business Mailing Address April 24, 2019

Registered at 207 ABBOTSFORD LN, BAKERSFIELD, CA 933127047 (Tel: 3233602771)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2019

Dentist (License #D6719 in AZ)

📍
Updated Practice Location June 26, 2018

Registered at 4104 CALIFORNIA AVE, BAKERSFIELD, CA 93309 (Tel: 6613232223)

NPI Profile Active March 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2013

Registered at 4104 CALIFORNIA AVE, BAKERSFIELD, CA 933091014 (Tel: 6613232223)

📍
Updated Business Mailing Address March 24, 2013

Registered at 4104 CALIFORNIA AVE, BAKERSFIELD, CA 933091014 (Tel: 6613232223)

👤
Provider Name / Credentials Updated March 24, 2013

Recorded as PETER KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2013

Dentist (License #56021 in CA)

🟢
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972725844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: October 11, 2020
Sole Proprietor: No

Mailing Address

2415 G St

Bakersfield, CA 933012809

Phone: 6616311113

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.