NPIMap

Organization Active NPI

Peter W. Piche, D.D.S., P.C.

  • Dentist
  • Traverse City, MI
National Provider Identifier
1083083737
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016740 Issued in MI
Legal business name
PETER W. PICHE, D.D.S., P.C.
Practice address
335 E State St
Traverse City, MI 49684-2516
Phone
(231) 947-2716
Fax
(231) 947-2352
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter William Piche, D.D.S.NPI 1871627596
Title
Doctor
Phone
(231) 947-2716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901016740 MI Primary

Addresses

Primary practice location

335 E State St
Traverse City, MI 49684-2516

Mailing address

335 E State St
Traverse City, MI 49684-2516
Phone (231) 947-2716

National Provider Directory

National Provider Directory

Locations

335 E State St
Traverse City, MI 49684
Phone (231) 947-2715

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1083083737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E STATE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842516",
            "telephone_number": "231-947-2716",
            "fax_number": "231-947-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E STATE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842516",
            "telephone_number": "231-947-2716",
            "fax_number": "231-947-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER W. PICHE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "PICHE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "231-947-2716",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.