Active NPI
Dwight Patrick Peters, D.M.D
- Dentist
- Frankfort, KY
National Provider Identifier
1033316906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7615
- Practice address
- 1006 Leawood Dr
Suite 200
Frankfort, KY 40601-3349 - Phone
- (502) 223-0211
- Fax
- (502) 875-5567
- NPI assigned
- Jul 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7615 | KY | Primary |
Addresses
Primary practice location
1006 Leawood Dr
Suite 200
Frankfort, KY 40601-3349
Mailing address
1006 Leawood Dr
Suite 200
Frankfort, KY 40601-3349
Phone (502) 223-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151001003212 | KY | Order and Referring Only - Oral Surgery | 0648588111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FDC Georgetown PLLC | Current | Accepting new patients | |
| DPP PLLC | Current | Accepting new patients | |
| Swintosky and Peters | Dentist | Past | Accepting new patients |
Locations
1006 Leawood Dr
Ste 200
Frankfort, KY 40601
Phone (502) 223-0211
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dilts Family Dentistry
- Dental Clinic/Center
- Crescent Springs, KY
- NPI 1174235584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033316906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 LEAWOOD DR",
"address_2": "SUITE 200",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013349",
"telephone_number": "502-223-0211",
"fax_number": "502-875-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 LEAWOOD DR",
"address_2": "SUITE 200",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406013349",
"telephone_number": "502-223-0211",
"fax_number": "502-875-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "DWIGHT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "7615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.