Peter John Regas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12909 Issued in MA

Practice address

69 Main St.
Lakeville, MA 02347-1618

Phone

(508) 947-7400

NPI assigned

Sep 21, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144329814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MAIN ST.",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471618",
            "telephone_number": "508-947-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 MAIN ST.",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471618",
            "telephone_number": "508-947-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAS",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "XO4903RE",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249114",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Poh, MA
• Vladimir Pourer, FNP-C
• Brittany Alexis Pratt, MS, OTR/L
• Professional Medication Consultants, LLC
• Colleen Quaile, LMHC
• Leonardo Madeira Reis Jr., PHARMD, RPH
• Sarah Marie Richardson, MA
• Anne Louise Rigione, PTA
• Lanai Ritchie
• Riverdell Therapy and Wellness LLC

• General Practice Dentistry in Lakeville, MA
• Providers in Lakeville, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.