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Peter Kim, DDS

NPI 1215207733ActiveIndividual· Dentist· Modesto, CA

Dentist (DDS) in Modesto, California, licensed in CA, with an NPI issued in January 2012. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1215207733
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedJan 2, 2012
Last updated in NPPESJan 2, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X56244CA

About license numbers in NPPES

Exclusion screening

Possible match: verify before acting. The OIG list has a record with the same name in California, but that record carries no NPI, so it may be a different person or business.

Matched byName on OIG listExclusion typeExcluded sinceLocation
Name + statePeter Kim · Employee1128a1Apr 19, 2007Los Angeles, CA
ListResultDetails
HHS-OIG LEIE · Oct 9, 2026Possible (name)See above
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Modesto

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