NPPES file of Aug 9, 2026

Peter Keewahn Kim, DDS

Dentist · San Jacinto, CA

Peter Keewahn Kim, DDS is a dentist with a practice address in San Jacinto, California, and NPI 1417554411, issued on Oct 3, 2020. Check the license (California 105646, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417554411
Name
Peter Keewahn Kim
Credential
DDS
Primary taxonomy
Dentist 122300000X
License number
105646 CA
Self-reported in NPPES; status is on the state search
Practice location
1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA 92583
Phone
(951) 654-7744
Enumerated
Oct 3, 2020
Record last updated
Oct 3, 2020 (not updated in 6 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1643 S San Jacinto Ave Ste 100&101

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Erika Belle, DDSGeneral Practice Dentistry1215420120
  2. Albert Macias, DDSGeneral Practice Dentistry1679430995
  3. Ismael Nawaz, DDSDentist1891412250

Verify Peter Keewahn Kim in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 105646
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

9% fewer Medicare Part D claims than the average dentist in 2024

78 Medicare Part D claims for 45 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Peter Kim78
  2. Specialty average86

Most prescribed

  1. Ibuprofen28 claims
  2. Amoxicillin26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Peter Keewahn Kim among 14,729 dentist records in California

Peter Keewahn Kim, DDS is one of 14,729 dentist records with a practice address in California. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 81% of them.

  • NPI issued2020 · 81% of these records are older, 17% newer
  • In a Medicare fileYes · 56% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2020 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 dentist records list a practice address in San Jacinto

They are 6 of the 531 NPPES records with a practice address in San Jacinto, and 14,729 dentist records in California.

The 8 dentist records with the nearest ZIP codes

  1. Divyana Baria, DDSSan Jacinto, CA 925831851985014
  2. Nardeen Boulos, DMDSan Jacinto, CA 925831679190342
  3. Robert Horne, DDSSan Jacinto, CA 925831043642879
  4. Ismael Nawaz, DDSSan Jacinto, CA 925831891412250
  5. Mayra Camacho, DMDMenifee, CA 925841255021028
  6. Owen Cruz, DDSMenifee, CA 925841174120463
  7. Matthew Enns, D.D.S.Menifee, CA 925841386027704
  8. Seong Hwang, DDSMenifee, CA 925841982276572

Common questions

What is Peter Keewahn Kim, DDS's NPI number?

Peter Keewahn Kim, DDS's National Provider Identifier (NPI) is 1417554411, issued on Oct 3, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Peter Keewahn Kim, DDS located?

The NPPES record lists a practice address at 1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA, 92583. Phone: (951) 654-7744. Providers update this record themselves, so call before visiting.

How can I verify Peter Keewahn Kim, DDS's license?

NPPES lists California license number 105646, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Peter Keewahn Kim, DDS prescribe under Medicare Part D?

In 2024, Peter Keewahn Kim, DDS had 78 Medicare Part D claims for 45 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.