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Active NPI 1922518208 Individual Practitioner Male Practitioner

Dr. Peter Kim , DDS

Dentist - General Practice • Aurora, CO

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Aurora, CO. Practice services are available at 1075 S PEORIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1075 S Peoria St

Aurora, CO 800123413

Telephone 3033414878
Associated Practice Facility / Clinic
🏢 1075 S. Peoria Llc Facility NPI 1265851042

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Aurora, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
201 Specialists

Practicing in Aurora, CO (2613 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: 2022-09-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00203290

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Seung Lee

Dentist - Prosthodontics

NPI 1134218217
Dr. Anil Idiculla , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1558438945

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 13, 2022

Registered at 1075 S PEORIA ST, AURORA, CO 800123413 (Tel: 3033414878)

📍
Updated Business Mailing Address September 13, 2022

Registered at 6547 VILLAGE LN, CENTENNIAL, CO 801116265 (Tel: 7208403985)

NPI Profile Active October 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2017

Registered at 15737 E PRENTICE DR, CENTENNIAL, CO 800154264 (Tel: 7208403985)

📍
Updated Business Mailing Address October 02, 2017

Registered at 15737 E PRENTICE DR, CENTENNIAL, CO 800154264 (Tel: 7208403985)

👤
Provider Name / Credentials Updated October 02, 2017

Recorded as PETER KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2017

Dentist (License #DEN.00203290 in CO)

🟢
Initial NPI Registration & Enumeration October 02, 2017

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: 1922518208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2017
Last Update: September 13, 2022
Sole Proprietor: Yes

Mailing Address

6547 Village Ln

Centennial, CO 801116265

Phone: 7208403985

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.