David A. Peters, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

89-87 Issued in NM

Practice address

3812 Academy Parkway North NE
Albuquerque, NM 87109-6749

Phone

(505) 938-7431

Fax

(505) 814-6039

NPI assigned

Aug 25, 2006

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1093823718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 ACADEMY PARKWAY NORTH NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094409",
            "telephone_number": "505-938-7431",
            "fax_number": "505-814-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 ACADEMY PARKWAY NORTH NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096749",
            "telephone_number": "505-938-7431",
            "fax_number": "505-814-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NM",
            "license": "89-87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22905",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN #",
            "identifier": "NM00NL17",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN PIN #",
            "identifier": "201019271",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Pesina
• Lisa Peterkin
• Debra Kay Peterman, RN
• Mimi Martine Peters Rosen
• Dallas Peters, MD
• Haley Dianna Peters
• Linda Elizabeth Peters, LMSW
• Randal Peters
• Scott T Peters, SLP
• Cynthia Y Petersen, LPCC

• Geriatric Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Geriatric Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.