Active NPI
Christopher Brent Peeke, DDS
- Dentist
- Banning, CA
National Provider Identifier
1134435597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64297
- Practice address
- 264 N Highland Springs Ave
Suite 5B
Banning, CA 92220-3082 - Phone
- (951) 845-4685
- NPI assigned
- Aug 24, 2010
- 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 | 64297 | CA | Primary |
Addresses
Primary practice location
264 N Highland Springs Ave
Suite 5B
Banning, CA 92220-3082
Mailing address
264 N Highland Springs Ave
Suite 5B
Banning, CA 92220-3082
Phone (951) 845-4685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64297 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428883200000",
"number": "1134435597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 N HIGHLAND SPRINGS AVE",
"address_2": "SUITE 5B",
"city": "BANNING",
"state": "CA",
"postal_code": "922203082",
"telephone_number": "951-845-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 N HIGHLAND SPRINGS AVE",
"address_2": "SUITE 5B",
"city": "BANNING",
"state": "CA",
"postal_code": "922203082",
"telephone_number": "951-845-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEKE",
"first_name": "CHRISTOPHER",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2015-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.