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Peter Ung Kwon Kim, D.D.S.

NPI 1922022458ActiveIndividual· Dentist, General Practice· Brea, CA

Dentist, General Practice (D.D.S.) in Brea, California, licensed in CA, with an NPI issued in July 2006. Part D covered 41 prescriptions written in 2024, 98% of them generic. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.

Overview

NPI1922022458
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedJul 27, 2006
Last updated in NPPESDec 13, 2021
Certified by providerDec 13, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X49769CA

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 · Nov 10, 2026Possible (name)See above
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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

Part D prescriptions in 2024

Prescriptions (claims)41 · 41 30-day fills
Patients21
Total drug cost$574.49
Generic share98% of claims

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, General Practice providers in Brea

All Dentist, General Practice providers in California →