Peter John Georgio, D.D.S

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

CA26640 Issued in CA

Practice address

16835 Alkali Dr
Suite M
Lemoore, CA 93245-9463

Phone

(559) 924-0460

Fax

(559) 924-2197

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peter John Georgio Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104838010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 W BIRCH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110442",
            "telephone_number": "559-431-8515",
            "fax_number": "559-227-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16835 ALKALI DR",
            "address_2": "SUITE M",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932459463",
            "telephone_number": "559-924-0460",
            "fax_number": "559-924-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIO",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "CA26640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "GEORGIO",
            "middle_name": "JOHN",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Wayne Garcia, D.O
• Jeffrey Garcia, OPTOMETRIST
• Roshelle M Garcia
• Jessica C Garrido-Cuevas
• Douglas Edward Geib, RPH
• Manbir Singh Gill, DDS
• Andrew Paul Glemser, PA-C
• Mark Gobert, ICCS, ICCJP, NCAC-II
• Amy Renee Gonsalves
• Sabrina Gonzalez, LCSW

• Public Health Dentistry in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Public Health Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.